Red-flag Syncope: Spontaneous Splenic Rupture

Slides:



Advertisements
Similar presentations
Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.
Advertisements

An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine.
Pierre Charbel Atallah, MD, Pierre Atallah, MD, Vikram Kashyap, MD 
An Unusual Cause of Leg Ulcerations
Crowned Dens Syndrome The American Journal of Medicine
A Pain in the Neck: Thyroid Abscess
Incarcerated Umbilical Hernia After Colonoscopy in a Cirrhotic Patient
David R. Curran, MD, Terence K
Shenil S. Shah, MD, Ryan R. Gaffney, DO, Thomas M
Refractory neurosarcoidosis: A dramatic response to infliximab
Isolated Hypoglossal Nerve Paralysis
Direct Migration of Liquid Silicone Oil to the Mediastinum
Systematic Review and Meta-analysis of Adverse Events of Low-dose Aspirin and Clopidogrel in Randomized Controlled Trials  Kenneth R. McQuaid, MD, Loren.
An Iatrogenic Metastasis
Fainting with HIV The American Journal of Medicine
All in His Head: An Unexpected Space-occupying Lesion
Massive Spontaneous Subcutaneous Emphysema
Platelet Count of Zero: A Curious Case of Thrombocytopenia
Failure to Yield: Refractory Achalasia
Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain
Urinary Ascites and Renal Failure from Unrecognized Bladder Rupture
Epidemiology of Myelodysplastic Syndromes
Nosocomial Vertebral Osteomyelitis
Baffling Tachycardia The American Journal of Medicine
Height Loss and Generalized Pain in a 35-year-old Man
What's in Her Pocket: Worsening Diverticulitis
Ashok K. Malani, MD, MS, Brian Olofsson, MD, David Debono, MD 
Major Crush: a Solitary Fibrous Pleural Tumor
Stuttering Mesenteric Ischemia
An Uncommon Cause of Recurrent Venous Thromboembolism
Diagnosing porcelain gallbladder
The Reply The American Journal of Medicine
A New “Hump” The American Journal of Medicine
Type III hyperlipoproteinemia unmasked by HIV anti-retroviral therapy
Myasthenia of the Heart
Hemispheric Cerebral Edema
Gout in African Americans
Emphysematous Pancreatitis
Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome?  Joseph A. Moore, MD, Siayareh Rambally, MD 
Mycotic aneurysms of the abdominal aorta
Pulmonary Langerhans' Cell Histiocytosis
Acute Cytomegalovirus Colitis Mimicking Exacerbation of Ulcerative Colitis: Precipitating or Coincidental?  Owolabi Ogunneye, MD, MRCP, Jaime Hernandez,
Once Universally Fatal: Pylephlebitis
Axillary Mass and Hypercalcemia: The Value of a Physical Examination
Geographic Tongue The American Journal of Medicine
Insomnia in the Elderly: Cause, Approach, and Treatment
Cluster Syncope The American Journal of Medicine
An Uncommon Cause of Portal Hypertension: Schistosomiasis
Purnema Madahar, MD, Cristina M. Gonzalez, MD, MEd 
Spontaneous Splenic Rupture in an Intravenous Drug Abuser
Wunderlich Syndrome The American Journal of Medicine
Trench Mouth The American Journal of Medicine
Eagle's Syndrome The American Journal of Medicine
Ajay Major, MD, MBA, Mel Anderson, MD  The American Journal of Medicine 
Recurrent Back Pain of Eosinophilic Esophagitis
Splenic Abscess After Acute Pyelonephritis
Unexpected Venous Thrombosis in the Superior Vena Cava
Unexpected Etiology of Atypical Chest Pain
Aorta–Aorta Fistula: Another Uncommon Cause of Heart Failure
Rivaroxaban for Cancer-associated Cardiac Thrombosis
Transmitted Pulsations from a Mediastinal Abscess
Transient Unilateral Neck Swelling After Unusual Exertion
Direct Observation of Residents: A Model for an Assessment System
An Unexpected Pneumonitis
Demolition Site: Rhinotillexomania
Falls in Older Adults: Risk Assessment, Management and Prevention
A Twisted Tale: Chronic Abdominal Pain Caused by Gastric Volvulus
The Reply The American Journal of Medicine
Toward a More Responsible News Media
Low Back Pain After Sudden Onset of Abdominal Pain in a Patient with Crohn's Disease  Kiyoshi Shikino, MD, PhD, Shingo Suzuki, MD, PhD, Yuta Hirose, MD,
Presentation transcript:

Red-flag Syncope: Spontaneous Splenic Rupture Ami Schattner, MD, Adi Meital, MD, Eliezer Mavor, MD  The American Journal of Medicine  Volume 127, Issue 6, Pages 501-502 (June 2014) DOI: 10.1016/j.amjmed.2014.02.024 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure Coronal contrast-enhanced computed tomography showed a large perisplenic hematoma (black arrows) with active bleeding (dashed arrow). Free peritoneal fluid was present (white arrows), including fluid in a large diaphragmatic hernia (white arrowheads). The American Journal of Medicine 2014 127, 501-502DOI: (10.1016/j.amjmed.2014.02.024) Copyright © 2014 Elsevier Inc. Terms and Conditions