Saudi Journal of Gastroenterology
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Year : 2007  |  Volume : 13  |  Issue : 4  |  Page : 163-167

Spontaneous rupture of the malarial spleen


1 Department of Surgery, Fr. Muller Medical College Hospital, Kankanady, Mangalore - 575 002 (DK.), Karnataka, India
2 Department of Medicine, Fr. Muller Medical College Hospital, Kankanady, Mangalore - 575 002 (DK.), Karnataka, India

Correspondence Address:
Leo F Tauro
Department of General Surgery, Fr. Muller Medical College Hospital, Kankanady, Mangalore - 575 002 (D.K.)
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.36745

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Spontaneous rupture of the spleen is a well-described occurrence in many diseases, being most commonly found in malaria. Exact incidence of this complication is not clear. In this article, we discuss pathology, diagnostic approach and therapeutic options in a patient with malarial splenic rupture. Ruptures of malarial spleens do heal and attempts at splenic lavage/conservative approach should be the aim in their management. Splenectomy should be reserved for those patients with severe rupture or those with continued or recurrent bleeding.


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