Delayed rupture of the spleen and streptokinase therapy

Robert Nam, Michele Carr, Christopher G. Jamieson

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Delayed rupture of the spleen is a rare but serious complication of blunt abdominal trauma. A 47-year-old woman with a history of fractured pelvis from a motor vehicle accident 6 months earlier presented with evidence of a myocardial infarction. Subsequent streptokinase administration was complicated by splenic rupture, which was managed by evacuation of the clotted blood and splenectomy. The patient made a complete recovery. The risk of splenic rupture and bleeding complications resulting from thrombolytic therapy for myocardial infarction is discussed, as are the controversy over whether delayed splenic rupture is a true diagnosis, the mechanism of rupture and the clues to impending rupture.

Original languageEnglish (US)
Pages (from-to)151-154
Number of pages4
JournalCanadian Journal of Surgery
Volume39
Issue number2
StatePublished - Apr 1 1996

All Science Journal Classification (ASJC) codes

  • Surgery

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    Nam, R., Carr, M., & Jamieson, C. G. (1996). Delayed rupture of the spleen and streptokinase therapy. Canadian Journal of Surgery, 39(2), 151-154.