Atraumatska ruptura slezine prouzrokovana Plasmodium falciparum-om, izazov u mirovnim operacijama UN

  • Saša Micković Military Medical Academy, Clinic for Vascular and Endovascular Surgery, Belgrade, Serbia
  • Goran Milojković Military hospital Nis
  • Jugoslav Stojiljković Military Hospital Niš, Niš, Serbia
  • Nemanja Borovčanin Military Medical Academy, Institute of Transfusiology and Hemobiology, Belgrade, Serbia
  • Sanja Jović Cardiologist
  • Saša Kovačević Military Hospital Niš, Niš, Serbia
Ključne reči: centralna afrička republika;, malarija;, splenektomija;, slezina, ruptura;, ujedinjene nacije.

Sažetak


Uvod. Za razliku od traumatske rupture slezine, koja je najčešća posledica tupe traume abdomena i dobro je dokumentovana u literaturi, i za razliku od atraumatske rupture slezine, koja  je ređa, ali takođe dobro opisana, spontana ruptura slezine kod bolesnika sa malarijom je retka komplikacija, sa potencijalno fatalnim ishodom. Prikaz bolesnika. Vojnik star 46 godina, prethodno lečen od primarnog napada akutne malarije, hospitalizovan je zbog kliničke slike trbušne kolike i dijareje. Tokom hospitalizacije došlo je do pogoršanja zdravstvenog stanja sa razvojem kliničke slike akutnog abdomena usled spontane rupture slezine koja je uspešno rešena splenektomijom. Zaklјučak. Splenektomija je metoda izbora kod bolesnika sa nestabilnom kliničkom slikom usled atraumatske rupture slezine.

Biografije autora

Goran Milojković, Military hospital Nis

Colonel 

Department of General Surgery

Military hospital Nis

Jugoslav Stojiljković, Military Hospital Niš, Niš, Serbia

lieutenant colonel

Department of Anesthesiology

Military Hospital Nis

Nemanja Borovčanin, Military Medical Academy, Institute of Transfusiology and Hemobiology, Belgrade, Serbia

Colonel 

Military Health Department

Sanja Jović, Cardiologist

Cardiologist 

Department of Internal Disease

Military Hospital Nis

Saša Kovačević, Military Hospital Niš, Niš, Serbia

lieutenant colonel

Radiology Department

Military Hospital Nis

Reference

World Health Organization. World malaria report 2019 [Inter-net]. 2019 [accessed on 2024 March 13]. Available from: https://www.who.int/publications/i/item/9789241565721

Elvy A, Harbach L, Bhangu A. Atraumatic splenic rupture: a 6-year case series. Eur J Emerg Med 2011; 18(2): 124–6.

Jones AD, Khan M, Cheshire J, Bowley D. Postsplenectomy Prophylaxis: A Persistent Failure to Meet Standard? Open Fo-rum Infect Dis 2016; 3(4): ofw197.

Nzoumbou-Boko R, Yambiyo BM, Ngoagouni C, Vickos U, Mani-rakiza A, Nakouné E. Falciparum Malaria in Febrile Patients at Sentinel Sites for Influenza Surveillance in the Central Af-rican Republic from 2015 to 2018. Interdiscip Perspect Infect Dis 2020; 2020: 3938541.

Jiménez BC, Navarro M, Huerga H, López‐Vélez R. Spontaneous splenic rupture due to Plasmodium vivax in a traveler: case report and review. J Travel Med 2007; 14(3): 188–91.

Orloff MJ, Peskin GW. Spontaneous rupture of the normal spleen, a surgical enigma. Int Abstr Surg 1958; 106(1): 1–11.

Atkinson E. Death from idiopathic rupture of spleen. Br Med J 1874; 2: 403–4.

Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Sys-tematic review of atraumatic splenic rupture. Br J Surg 2009; 96(10):1114–21.

Frank K, Linhart P, Kortsik C, Wohlenberg H. Sonographic de-termination of spleen size: normal dimensions in adults with a healthy spleen. Ultraschall Med 1986; 7(3): 134–7. (German)

Neva FA, Sheagren JN, Shulman NR, Canfield CJ. Malaria: host-defense mechanisms and complications. Ann Intern Med 1970; 73(2): 295–306.

Machado Siqueira A, Lopes Magalhães BM, Cardoso Melo G, Fer-rer M, Castillo P, Martin-Jaular L, et al. Spleen rupture in a case of untreated Plasmodium vivax infection. PLoS Negl Trop Dis 2012; 6(12): e1934.

Urban BC, Hien TT, Day NP, Phu NH, Roberts R, Pongponratn E, et al. Fatal Plasmodium falciparum malaria causes specific patterns of splenic architectural disorganization. Infect Immun 2005; 73(4): 1986–94.

Osman MF, Elkhidir IM, Rogers SO Jr, Williams M. Non-operative management of malarial splenic rupture: The Khar-toum experience and an international review. Int J Surg 2012; 10(9): 410–4.

Hershey FB, Lubitz JM. Spontaneous rupture of the malarial spleen: case report and analysis of 64 reported cases. Ann Surg 1948; 127(1): 40–57.

Kassam N, Michael S, Hameed K, Ali A, Surani S. Case Report: Sudden Splenic Rupture in a Plasmodium falciparum-Infected Patient. Int J Gen Med 2020; 13: 595–8.

Weinberg Y, Feldman A, Jakobson DJ, Mishal J. Spontaneous Pathologic Splenic Rupture in a Patient with Plasmodium fal-ciparum Infection, First Case Reported in Israel. Infect Dis Rep 2020; 12(3): 121–6.

Saad E, Elsamani E, Abdelrahman W. Spontaneous Splenic Rupture Complicating Severe P. falciparum Infection: A Case Report and Literature Review. Case Rep Infect Dis 2019; 2019: 2781647.

Objavljeno
2024/06/27
Rubrika
Prikaz bolesnika