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Operative management of splenic injury in a patient with proteus syndrome.
[proteus syndrome]
A
20
-
year
-old
female
with
Proteus
syndrome
sustained
splenic
injury
after
fall
from
a
bike
.
She
was
initially
managed
non-operatively
at
a
different
hospital
for
three
days
and
was
then
referred
to
our
level
I
trauma
center
in
view
of
increasing
abdominal
pain
and
distention
.
On
admission
in
the
Emergency
Department
(
ED
)
,
her
pulse
rate
was
120
per
minute
and
blood
pressure
was
108
/
68
mm
Hg
.
Clinical
examination
showed
a
distended
abdomen
with
left
hypochondrial
pain
.
Ultrasonogram
(
USG
)
and
Computed
Tomography
(
CT
)
of
the
abdomen
showed
splenomegaly
and
grade
III
splenic
injury
with
significant
hemoperitoneum
.
Her
hemoglobin
was
2
.
9
g
/
dl
with
packed
cell
volume
(
PCV
)
of
12
%
.
In
view
of
low
hemoglobin
and
possibility
of
pathologic
spleen
,
splenectomy
was
done
.
Microscopic
examination
of
the
spleen
showed
hemangiolymphangioma
.
The
patient
was
discharged
on
the
5
(
th
)
post-operative
day
and
is
doing
well
at
6
months
of
follow-up
.
