Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights
This case report details a rare instance of atraumatic splenic rupture presenting as minimal clotting hemoperitoneum in a patient with systemic lupus erythematosus (SLE) undergoing immunosuppressive therapy. This uncommon complication highlights the potential for systemic lupus to impair splenic hem...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325001013 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850030092416188416 |
|---|---|
| author | Soufiane Bigi Said Adnor Zakaria Chahbi Abderrahmane Ibenyahya Mohamed Ayez Mohamed Amine Baba Kharbach Ahmed Hajar El Agouri Soukaina Wakrim |
| author_facet | Soufiane Bigi Said Adnor Zakaria Chahbi Abderrahmane Ibenyahya Mohamed Ayez Mohamed Amine Baba Kharbach Ahmed Hajar El Agouri Soukaina Wakrim |
| author_sort | Soufiane Bigi |
| collection | DOAJ |
| description | This case report details a rare instance of atraumatic splenic rupture presenting as minimal clotting hemoperitoneum in a patient with systemic lupus erythematosus (SLE) undergoing immunosuppressive therapy. This uncommon complication highlights the potential for systemic lupus to impair splenic hemostasis, immunity, and filtration, posing risks to functional and life prognosis, particularly in cases of sudden, significant hemoperitoneum. While acute presentations are typical, progressive forms may also manifest. Hemostatic splenectomy remains the definitive treatment. This case emphasizes the importance of recognizing the clinical and radiological features of splenic complications in SLE and provides insights into post-treatment outcomes. |
| format | Article |
| id | doaj-art-68e902af6da64577ab15e08aac4a971a |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-68e902af6da64577ab15e08aac4a971a2025-08-20T02:59:18ZengElsevierRadiology Case Reports1930-04332025-05-012052450245310.1016/j.radcr.2025.01.101Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insightsSoufiane Bigi0Said Adnor1Zakaria Chahbi2Abderrahmane Ibenyahya3Mohamed Ayez4Mohamed Amine Baba5Kharbach Ahmed6Hajar El Agouri7Soukaina Wakrim8Radiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, Morocco; Corresponding author.Radiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MoroccoRadiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MoroccoRadiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MoroccoRadiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MoroccoREGNE Laboratory, Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco; High Institute of Nursing Professions and Technical Health, Agadir, MoroccoHigh Institute of Nursing Professions and Technical Health, Agadir, Morocco; Laboratory of Cell Biology and Molecular Genetics, Department of Biology, Faculty of Sciences, Ibn Zohr University, Agadir, MoroccoFaculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, Morocco; Pathology Department, Oued Eddahab Military Hospital, Agadir, MoroccoRadiology Department, University Hospital of Souss Massa, Agadir, Morocco; Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, MoroccoThis case report details a rare instance of atraumatic splenic rupture presenting as minimal clotting hemoperitoneum in a patient with systemic lupus erythematosus (SLE) undergoing immunosuppressive therapy. This uncommon complication highlights the potential for systemic lupus to impair splenic hemostasis, immunity, and filtration, posing risks to functional and life prognosis, particularly in cases of sudden, significant hemoperitoneum. While acute presentations are typical, progressive forms may also manifest. Hemostatic splenectomy remains the definitive treatment. This case emphasizes the importance of recognizing the clinical and radiological features of splenic complications in SLE and provides insights into post-treatment outcomes.http://www.sciencedirect.com/science/article/pii/S1930043325001013HemoperitoneumSpontaneous splenic ruptureLupus |
| spellingShingle | Soufiane Bigi Said Adnor Zakaria Chahbi Abderrahmane Ibenyahya Mohamed Ayez Mohamed Amine Baba Kharbach Ahmed Hajar El Agouri Soukaina Wakrim Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights Radiology Case Reports Hemoperitoneum Spontaneous splenic rupture Lupus |
| title | Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights |
| title_full | Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights |
| title_fullStr | Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights |
| title_full_unstemmed | Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights |
| title_short | Spontaneous splenic rupture in systemic lupus erythematosus: A rare case report and review of pathophysiological insights |
| title_sort | spontaneous splenic rupture in systemic lupus erythematosus a rare case report and review of pathophysiological insights |
| topic | Hemoperitoneum Spontaneous splenic rupture Lupus |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325001013 |
| work_keys_str_mv | AT soufianebigi spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT saidadnor spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT zakariachahbi spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT abderrahmaneibenyahya spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT mohamedayez spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT mohamedaminebaba spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT kharbachahmed spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT hajarelagouri spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights AT soukainawakrim spontaneoussplenicruptureinsystemiclupuserythematosusararecasereportandreviewofpathophysiologicalinsights |