背景:骨质疏松是一种罕见的疾病,具有影响肝脏的解剖病理学特征。然而,脾炎更为独特和罕见。患有这种异常的患者通常没有症状。此外,这是一种致命的疾病,因为脾破裂伴有休克的可能性很高。
方法:我们介绍了一例29岁的阿拉伯女性,从入院之日起1周开始,她因严重的上腹痛入院,与恶心有关,厌食症,低烧,呕吐,没有既往病史或合并症。增强的计算机断层扫描显示腹膜内游离液以及多个低密度脾囊肿。因此,进行了紧急剖腹探查和脾切除术。通过组织病理学检查证实了脾水肿。
结论:如果在一个器官中证实了骨质疏松,则需要进一步的研究,例如,肝脏,检测其存在于任何其他可能受骨质疏松影响的潜在器官中。脾炎极为罕见。此外,这种疾病没有既定的管理计划。明确的治疗是手术。脾炎的许多方面仍然令人困惑,需要在不久的将来进行更多的研究。
BACKGROUND: Peliosis is a rare condition with anatomopathological characteristics that affect the liver. However, splenic peliosis is even more unique and rare. Patients with such abnormality usually exhibit no symptoms. Moreover, this is a lethal condition due to the high probability of splenic rupture accompanied by shock.
METHODS: We present a case of a 29-year-old Arab female who was admitted to the hospital with severe upper abdominal pain that started 1 week from the date of admission, associated with nausea, anorexia, low-grade fever, and vomiting, with no past medical history or comorbidities. A computerized tomography scan with contrast showed intraperitoneal free fluid along with multiple hypodense splenic cysts. Hence, an emergent exploratory laparotomy with splenectomy was performed. Splenic peliosis was confirmed by the histopathological examination.
CONCLUSIONS: Further investigations are warranted if peliosis is confirmed in one organ, for example, the liver, to detect its presence in any other potential organs that can be affected by peliosis. Splenic peliosis is extraordinarily rare. Furthermore, such a disease has no established management plan. Definitive treatment is surgical. Many aspects of splenic peliosis remain puzzling requiring more research in the near future.