Unexpected Outcome In a Patient Presenting With Syncope: Splenic Laceration

Authors : Gözde Yılmaz, Fatma Hançer Çelik, Rukiye Aytekin, Necmi Baykan

Pages : 36-38

View : 29 | Download : 34

Publication Date : 2025-01-13

Article Type : Other Papers

Abstract :One of the most frequently injured organs in blunt trauma is the spleen. Typical symptoms of spleen injury are left-sided abdominal pain, peritonitis, and hypovolemic shock. Kehr sign can be seen in approximately 20% of cases. It is a rare case of a splenic injury where the abdominal examination is comfortable and the patient does not complain of abdominal pain. A 68-year-old male patient applied to the emergency department with the complaint of fainting after feeling dizzy while leaving the mosque. At the time of admission, blood pressure was measured as 126/68 mmHg, pulse 86/min, SpO2 97%, temperature 36.4 °C, fingertip blood sugar 98 mg/dL, and he did not have any active complaints. In the physical examination of the patient; His GCS was 15, he was oriented and cooperative, and his neurological examination was normal. There was no guarding, rebounding or tenderness on abdominal examination. His rectal examination revealed colic and stool contamination. There were no acute pathological findings on the patient\\\'s brain CT. The patient, whose vitals remained stable during follow-up, declared that he felt dizzy again when he was lifted off the stretcher during the control examination. The blood pressure of the patient, whose vitals were checked, was measured as 70/40 mmHg. The patient stated that he had a new onset of abdominal pain. When the anamnesis was detailed, he stated that he hit his left side on the pavement while falling, but he did not mention it at the first anamnesis because he had no pain. Splenectomy was performed on the patient, whose spleen injury was detected on abdominal imaging and general surgery was consulted. With this case report, we aimed to remind once again the importance of follow-up examinations, and that in addition to non-traumatic causes, a detailed anamnesis should be kept and the trauma history should be questioned in detail in the patient presenting with syncope.
Keywords : Dalak Laserasyonu, Travma, Senkop