BIOMAT Database Logo BIOMAT Database Logo

Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension: a case report and review of the literature. 2006

Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Department of Surgery, Asahi General Hospital, I-1326, Asahi City, Chiba 289-2511, Japan. seyamay-sur@h.u-tokyo.ac.jp

Spontaneous rupture is a rare complication of splenic hamartoma. A review of the literature revealed only four such cases. To the best of our knowledge, this is the first report of spontaneous rupture of splenic hamartoma associated with liver cirrhosis and portal hypertension. A 53-year-old woman, who was followed up for aortic dissection and hepatitis C virus (HCV)-related liver cirrhosis, was referred with sudden left chest and shoulder pain. An abdominal ultrasound showed intraabdominal bleeding, and computed tomography indicated rupture of a splenic tumor. Emergent splenectomy was carried out. The postoperative course was uneventful, and the patient was discharged on the 13th postoperative day. Pathology revealed the tumor to be a ruptured splenic hamartoma. The non-tumorous splenic parenchyma revealed congestive changes. We consider that the presence of liver cirrhosis and portal hypertension are risk factors for spontaneous rupture of the splenic hamartoma.

UI MeSH Term Description Entries
D006975 Hypertension, Portal Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN. Cruveilhier-Baumgarten Disease,Cruveilhier-Baumgarten Syndrome,Cruveilhier Baumgarten Disease,Cruveilhier Baumgarten Syndrome,Disease, Cruveilhier-Baumgarten,Portal Hypertension,Portal Hypertensions,Syndrome, Cruveilhier-Baumgarten
D008103 Liver Cirrhosis Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules. Cirrhosis, Liver,Fibrosis, Liver,Hepatic Cirrhosis,Liver Fibrosis,Cirrhosis, Hepatic
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006222 Hamartoma A focal malformation resembling a neoplasm, composed of an overgrowth of mature cells and tissues that normally occur in the affected area. Hamartomas
D006526 Hepatitis C INFLAMMATION of the LIVER in humans caused by HEPATITIS C VIRUS, a single-stranded RNA virus. Its incubation period is 30-90 days. Hepatitis C is transmitted primarily by contaminated blood parenterally and is often associated with transfusion and intravenous drug abuse. However, in a significant number of cases, the source of hepatitis C infection is unknown. Hepatitis, Viral, Non-A, Non-B, Parenterally-Transmitted,Parenterally-Transmitted Non-A, Non-B Hepatitis,PT-NANBH,Parenterally Transmitted Non A, Non B Hepatitis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012422 Rupture, Spontaneous Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force. Ruptures, Spontaneous,Spontaneous Rupture,Spontaneous Ruptures
D013158 Splenic Diseases Diseases involving the SPLEEN. Disease, Splenic,Diseases, Splenic,Splenic Disease

Related Publications

Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Spontaneous rupture of splenic hemangioma in hepatitis C virus-related cirrhosis.
October 2008, European journal of internal medicine,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Splenic hamartoma with portal hypertension: a case report.
January 1992, Tropical gastroenterology : official journal of the Digestive Diseases Foundation,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Spontaneous rupture of splenic hamartoma: a case report.
March 1999, Journal of pediatric surgery,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
[Spontaneous splenic rupture. Case report and literature review].
July 2023, Revista medica del Instituto Mexicano del Seguro Social,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Spontaneous splenic rupture: case report and review of literature.
January 2020, The Pan African medical journal,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Spontaneous splenic rupture in typhomalaria: A case report with review of literature.
January 2017, Sudanese journal of paediatrics,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Primary splenic lymphoma in patient with hepatitis C virus infection: case report and review of the literature.
January 2000, International surgery,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Spontaneous rupture of splenic hematoma in a malaria patient: Case report and review of literature.
January 2016, International journal of surgery case reports,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Portal hypertension secondary to a spontaneous splenic arteriovenous fistula: case report and review of the literature.
July 1986, The American journal of gastroenterology,
Yasuji Seyama, and Nobutaka Tanaka, and Yoshio Suzuki, and Motoki Nagai, and Takatoshi Furuya, and Yukihiro Nomura, and Jimpei Ishii, and Masakazu Nobori
Splenic Hamartoma: A Case Report and Literature Review.
September 2022, The American journal of case reports,
Copied contents to your clipboard!