Atraumatic splenic rupture and ileal volvulus following cocaine abuse

David H. Ballard; J. Patrick Smith; Navdeep S. Samra

doi:10.1016/j.clinimag.2015.06.012

Atraumatic splenic rupture and ileal volvulus following cocaine abuse

David H. Ballard, J. Patrick Smith, Navdeep S. Samra

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.

Original language	English
Pages (from-to)	1112-1114
Number of pages	3
Journal	Clinical Imaging
Volume	39
Issue number	6
DOIs	https://doi.org/10.1016/j.clinimag.2015.06.012
State	Published - Nov 2015

Keywords

Atraumatic splenic rupture
Cocaine toxicity
Cocaine-related splenic injury
Small bowel volvulus
Whirl sign

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10.1016/j.clinimag.2015.06.012

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title = "Atraumatic splenic rupture and ileal volvulus following cocaine abuse",

abstract = "We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a {"}whirl sign{"}, a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.",

keywords = "Atraumatic splenic rupture, Cocaine toxicity, Cocaine-related splenic injury, Small bowel volvulus, Whirl sign",

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AU - Smith, J. Patrick

AU - Samra, Navdeep S.

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N2 - We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.

AB - We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.

KW - Atraumatic splenic rupture

KW - Cocaine toxicity

KW - Cocaine-related splenic injury

KW - Small bowel volvulus

KW - Whirl sign

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JO - Clinical Imaging

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IS - 6

ER -

Atraumatic splenic rupture and ileal volvulus following cocaine abuse

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Keywords

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