Case Report

Unexpected finding of splenic peliosis in a traumatic spleen in a patient with cleidocranial dysplasia

Prema Mohandas, Ahmed O.A Krim, Paul Samson
South African Journal of Radiology | Vol 22, No 1 | a1371 | DOI: https://doi.org/10.4102/sajr.v22i1.1371 | © 2018 Prema Mohandas, Ahmed O.A Krim, Paul Samson | This work is licensed under CC Attribution 4.0
Submitted: 04 June 2018 | Published: 27 September 2018

About the author(s)

Prema Mohandas, Department of General Surgery, Southland Hospital, New Zealand
Ahmed O.A Krim, Department of Radiology, Southland Hospital, New Zealand
Paul Samson, Department of General Surgery, Southland Hospital, New Zealand


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Abstract

We present a case of traumatic rupture of the spleen in a man with cleidocranial dysplasia. The computed tomography imaging showed multiple low-grade lacerations of the spleen which initially led to conservative patient management. However, with clinical deterioration, the patient underwent an emergent splenectomy. Post-operative histology revealed splenic peliosis with multiple lacerations. The radiological and surgical management of post-traumatic splenic peliosis may differ from those with an otherwise normal spleen.

Keywords

pelisses; cleidocranoal dysplasia

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