TY - JOUR
AU1 - Piotti, Giovanni
AU2 - Filippin, Francesco
AU3 - Rampino, Teresa
AU4 - Bedino, Giulia
AU5 - Bosio, Francesca
AU6 - Morbini, Patrizia
AU7 - Gregorini, Marilena
AU8 - Dal Canton, Antonio
AB - Peritoneal Dialysis International, Vol. 31, pp. 486-499 0896-8608/11 $3.00 + .00 Printed in Canada. All rights reserved. Copyright © 2011 International Society for Peritoneal Dialysis ShoRt RePoRt S The patient experienced sudden upper left-sided Atraumatic Spleen Rupture in Dialyzed abdominal pain and lef t shoulder-tip pain while at Patients: Clinical Report and Review rest; soon af ter, he noticed frankly red dialysate during of the Literature the exchange procedure. He immediately went to the hospital. At admission, he appeared prostrate. Vital Atraumatic spleen rupture (ASR) is a rare but life- signs included blood pressure 110/60 mmHg, hear t threatening event. It can present either with a dull and rate 70 bpm, and oxygen saturation 97% in room air. unspecif ic abdominal pain or with severe shock because The physical examination revealed abdominal tender- of intraperitoneal hemorrhage. It requires prompt in- ness, with neither guarding nor rebound. Because of tensive medical support while preparations are made for acute onset of anemia (his hemoglobin had dropped to emergency splenectomy. The term “atraumatic” should 9.5 g/dL from the previous level of 12.3 g/dL) and pres- be used only in the absence of abdominal trauma, and ence of electrocardiographic ischemic abnormalities, 2 thus 
TI - Atraumatic Spleen Rupture in Dialyzed Patients: Clinical Report and Review of the Literature
JF - Peritoneal Dialysis International
DO - 10.3747/pdi.2010.00237
DA - 2011-07-01
UR - https://www.deepdyve.com/lp/sage/atraumatic-spleen-rupture-in-dialyzed-patients-clinical-report-and-mzMZ0JdbZs
SP - 486
EP - 492
VL - 31
IS - 4
DP - DeepDyve
ER -