Open AccessAtraumatic splenic rupture after cocaine use and acute Epstein-Barr virus infection: A case report and review of literature
Author(s) -
Allan M. F. Kwok
Publication year - 2019
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v11.i12.433
Subject(s) - medicine , pseudoaneurysm , surgery , acute pancreatitis , splenic artery , acute abdomen , hemoperitoneum , medical history , aneurysm
Atraumatic splenic rupture (ASR) accounts for just over 3% of all cases of splenic rupture and is associated with a high mortality rate. The most common culprit is acute infection with Epstein-Barr virus (EBV) but other documented aetiologies include neoplasia, other viral/bacterial infections, acute and chronic pancreatitis, amyloidosis and anticoagulant medications. There are four previous reports of cocaine-associated ASR but never before has it been documented in combination with concurrent acute EBV infection.