Spontaneous rupture of the spleen in a patient with systemic lupus erythematosus initially presented as Evans syndrome.

Abstract

BACKGROUND:

Although splenic abnormalities are common in patients with lupus, spontaneous rupture of spleen is extremely rare.

OBSERVATIONS:

A 15-year-old boy with new-onset Evans syndrome subsequently diagnosed as systemic lupus erythematosus developed spontaneous rupture of spleen during the course of his illness. Despite the severe thrombocytopenia, he was managed conservatively with gradual regression of hematoma without further complication.

CONCLUSIONS:

Splenic rupture may occur spontaneously in the course of systemic lupus erythematosus. We conclude that conservative treatment of splenic rupture may be preferred especially in immunocompromised patients to avoid surgical complications.

• Authors: Huseyin Tokgoz, Umran Caliskan, Bulent Atas, Orhan Ozbek, Betul Tavil
• Journal: Journal of pediatric hematology/oncology (J Pediatr Hematol Oncol) Vol. 36 Issue 1 Pg. e39-41 (Jan 2014) ISSN: 1536-3678 [Electronic] United States
• PMID: 23389505 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Anemia, Hemolytic, Autoimmune (diagnosis)
• Diagnosis, Differential
• Humans
• Lupus Erythematosus, Systemic (complications, diagnosis)
• Male
• Rupture, Spontaneous
• Splenic Rupture (diagnosis, etiology)
• Thrombocytopenia (diagnosis)