Journal of Surgery and Anesthesia

Spontaneous rapture of Spleen in Plasmodium Vivax infection

11^th International Conference on Surgery

September 01, 2022 | Webinar

Mahendra Reddy G S

D Y Patil Hospital, India

Scientific Tracks Abstracts: J Surg Anesth

Abstract:

A 29 years male came to casualty of Dr. D.Y.Patil hospital with the complaints of pain in abdomen in epigastric region and left hypochondrium since 2 days, on admission per-abdomen was soft, tenderness was present in left hypochondrium, no guarding,rigidity,had passed stool the previous day of admission.Blood investigations were all within the normal limits and USG full abdomen was NAD.Patient started to guard his abdomen on next day morning and had 2 episodes of fever in the night, CECT Abdomen+Pelvis was done which showed splenomegaly with sub-capsular hematoma,mild to moderate ascites, bilateral pleural effusion. Repeat CBC done on day 2 of admission showed fall of Hb from 11.5 to 6.2. Diagnostic tapping was done which revealed hemorrhagic fluid. Patient was taken up for EMERGENCY EXPLORATORY LAPROTOMY WITH SPLENECTOMY which showed GRADE 3 SPLENIC LACERSATION at HILUM of the Spleen. Patient was shifted to ICU for post-operative observation when he developed breathing difficulty with bilateral crepitation , X-ray chest PA done showed Bilateral Plueral Effusion,USG chest revealed moderate effusion, ICD was placed and Plueral effusion resolved in 2 days. Patient had 2 more episodes of fever on post-operative day 1, fever profile revealed Plasmodium Vivax malarial positive and patient was started on Tab.Primaquine 15mg OD. Patient recovered well and was discharged on POD 10.

Biography :

Mahendra Reddy is working in Dr. D Y Patil Hospital and Research Centre, Navi Mumbai which is located in India. He has given a Poster Presentation in 11th International Conference on Surgery.