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- Title
Operative management of splenic injury in a patient with proteus syndrome.
- Authors
Kannan, Umashankkar; Mishra, Biplab; Subramanian, Arulselvi; Sagar, Sushma; Kumar, Subodh; Singhal, Maneesh
- Abstract
A 20-year-old female with Proteus syndrome sustained splenic injury after fall from a bike. She was initially managed nonoperatively at a different hospital for three days and was then referred to our level I trauma center in view of increasing abdominal pain and distention. On admission in the Emergency Department (ED), her pulse rate was 120 per minute and blood pressure was 108/68 mm Hg. Clinical examination showed a distended abdomen with left hypochondrial pain. Ultrasonogram (USG) and Computed Tomography (CT) of the abdomen showed splenomegaly and grade III splenic injury with significant hemoperitoneum. Her hemoglobin was 2.9 g/dl with packed cell volume (PCV) of 12%. In view of low hemoglobin and possibility of pathologic spleen, splenectomy was done. Microscopic examination of the spleen showed hemangiolymphangioma. The patient was discharged on the 5th post-operative day and is doing well at 6 months of follow-up.
- Subjects
SPLENECTOMY; PROTEUS syndrome; MULTIPLE tumors; MEDICAL care; TRAUMA centers; THERAPEUTICS; TUMOR treatment
- Publication
Journal of Emergencies, Trauma & Shock, 2014, Vol 7, Issue 3, p233
- ISSN
0974-2700
- Publication type
Article
- DOI
10.4103/0974-2700.136872