Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2019; 11(12): 433-442
Published online Dec 27, 2019. doi: 10.4240/wjgs.v11.i12.433
Published online Dec 27, 2019. doi: 10.4240/wjgs.v11.i12.433
Atraumatic splenic rupture after cocaine use and acute Epstein-Barr virus infection: A case report and review of literature
Allan Mun Fai Kwok, Department of Surgery, Wollongong Hospital, Wollongong 2500, NSW, Australia
Author contributions: Kwok AMF was the primary treating surgeon, performed the literature review and composed and reviewed the manuscript.
Informed consent statement: Consent was obtained directly from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author declares that he has no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE checklist (2016), and the manuscript was prepared and revised according to the CARE checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Allan Mun Fai Kwok, BSc, MBBS, Doctor, Lecturer, Surgeon, General Surgeon, Department of Surgery, Wollongong Hospital, Locked Bag 8808, South Coast Mail Centre, Wollongong 2500, NSW, Australia. amf.kwok@gmail.com
Telephone: +61-2-42225000 Fax: +61-2-42551337
Received: August 15, 2019
Peer-review started: August 15, 2019
First decision: September 21, 2019
Revised: October 5, 2019
Accepted: November 20, 2019
Article in press: November 20, 2019
Published online: December 27, 2019
Peer-review started: August 15, 2019
First decision: September 21, 2019
Revised: October 5, 2019
Accepted: November 20, 2019
Article in press: November 20, 2019
Published online: December 27, 2019
Core Tip
Core tip: Atraumatic splenic rupture (ASR) is an uncommon condition that carries a high mortality rate if not recognised early. We describe the case of a 21-year-old man who suffered ASR as a result of a both acute Epstein-Barr virus (EBV) infection and recent cocaine ingestion. An incidental splenic artery pseudoaneurysm was also discovered on imaging which required endovascular embolisation. An association between ASR, acute EBV infection, cocaine use and splenic artery pseudoaneurysm has never been described previously in the literature. ASR requires a high index of suspicion to diagnose clinically and requires prompt, appropriate management to reduce morbidity and mortality.