An Unusual Presentation of Splenic Rupture in a Hemodialysis Patient

Dr ADEYEMO AW; Dr SOURABH SHARMA; Dr BUSARI KA

doi:10.59793/p377j408

Authors

Dr ADEYEMO AW Nephrologist and Transplant Physician, Zenith Medical and Kidney Centre, Abuja, Nigeria
Dr SOURABH SHARMA Assistant Professor, Dept. of Nephrology and Renal Transplantation, VMMC & Safdarjung Hospital, New Delhi, India
Dr BUSARI KA Radiologist, Zenith Medical and Kidney Centre, Abuja, Nigeria

DOI:

https://doi.org/10.59793/p377j408

Keywords:

Atraumatic,, splenic, rupture,, hemodialysis,, platelet dysfunction,, kidney failure

Abstract

Splenic rupture, although rare in dialysis patients, can be life-threatening. In this case, a 45-year-old man with kidney failure
on hemodialysis experienced sudden and severe abdominal pain in the left flank, without any history of trauma. He displayed
symptoms of hypovolemic shock, characterized by pallor, hypotension, and tachycardia. Additionally, he had abdominal
distension and tenderness. An abdominal CT scan revealed a splenic hematoma and intra-abdominal hemorrhage. The
patient required a splenectomy to address the ongoing bleeding, but unfortunately, he succumbed to post-splenectomy sepsis
2 weeks later.