Multidisciplinary management of Epstein-Barr virus-associated atraumatic splenic rupture incorporating splenic artery embolisation and intraoperative cell salvage.
Hanin Ramadan, Haruna Takahashi, Anastasia Aslani
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Case in brief
A young woman with Epstein-Barr virus-induced hepatitis and splenomegaly presented with abdominal pain and jaundice, later collapsing due to a large haemoperitoneum from atraumatic splenic rupture. Initial splenic artery embolisation failed, leading to an open splenectomy. The case highlighted the importance of a multidisciplinary approach and effective planning for rapid surgical intervention when non-operative management is unsuccessful.
Diagnostic / clinical pearl
This case underscores the importance of having a definitive surgical plan ready when attempting non-operative management of atraumatic splenic rupture, particularly in the context of significant blood loss.
Why it matters
The use of intraoperative cell salvage was crucial for blood conservation and resuscitation, emphasizing its role in managing severe hemorrhage during splenic interventions.