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Delayed Splenic Rupture: A Rare Complication of Snakebites

机译:延迟的脾破裂:嗅卵子的罕见并发症

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摘要

Bites by venomous snakes can cause fatal systemic and coagulation disorders. Rare complications, such as compartment syndrome and hemoperitoneum, may also require surgical intervention. Here, we describe our experience with an unusual case of snakebite-induced delayed splenic rupture. A 54-y-old male with no specific medical history visited a local hospital for a bite by an unidentified snake. He had been bitten on the left thumb and was administered antivenom. He was discharged from the local hospital after 3 d when his symptoms had improved. However, he revisited our emergency medical center 2 d later, reporting dizziness with diaphoresis. Focused abdominal ultrasonography and computed tomography revealed large amounts of intraperitoneal fluid collection and hemoperitoneum with splenic rupture, respectively. The patient underwent immediate blood transfusion and received antivenom treatment in our emergency department and, subsequently, emergency splenectomy. Histopathologic findings at the time of surgery revealed multifocal lacerations on the external surface of the spleen, with fresh hemorrhage. He recovered 7 d after surgery without any complication.
机译:毒蛇咬伤可导致致命的全身和凝血障碍。罕见的并发症,如腔室综合征和腹膜积血,也可能需要手术干预。在这里,我们描述了一例罕见的蛇咬伤致迟发性脾破裂的经验。一名54岁男性因被一条身份不明的蛇咬伤而去当地医院就诊,他没有具体的病史。他的左手拇指被咬伤,并服用了抗蛇毒血清。症状改善后,他在3天后从当地医院出院。然而,2天后,他再次来到我们的急救中心,报告说他因出汗而头晕。腹部聚焦超声和计算机断层扫描分别显示大量腹腔积液和脾脏破裂的腹腔积血。患者在急诊科接受了立即输血和抗蛇毒血清治疗,随后进行了紧急脾切除术。手术时的组织病理学检查结果显示脾脏外表面有多灶性撕裂伤,并伴有新的出血。术后7天恢复,无任何并发症。

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