Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report
2006

Case of a Spleen Herniating into the Chest Causing Bleeding

Sample size: 1 publication Evidence: low

Author Information

Author(s): Hariharan Deepak, Singhal Rishi, Kinra Sonali, Chilton Andrew

Primary Institution: Royal London Hospital, London, UK

Conclusion

This case highlights a rare presentation of splenic herniation leading to upper gastrointestinal bleeding 28 years after a stab injury.

Supporting Evidence

  • Isolated splenic vein thrombosis is a rare cause of upper gastrointestinal bleeding.
  • The patient had a history of a stab injury 28 years prior.
  • Imaging confirmed the spleen was in the left hemi thorax due to a diaphragmatic tear.

Takeaway

A man had a serious stomach bleed because his spleen moved into his chest after being hurt a long time ago. This is very unusual.

Methodology

The case was diagnosed through clinical examination, imaging studies including CT scans, and endoscopy.

Limitations

The patient declined surgery and self-discharged, limiting further treatment options.

Participant Demographics

64-year-old Caucasian male, known smoker.

Digital Object Identifier (DOI)

10.1186/1471-230X-6-38

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