International journal of surgery case reports · 2025
The clinical range and management of spontaneous rupture of the pathological malarial spleen (SRPMS): A short case series from Sudan.
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Обработка статьи · этапы, ошибки и управление
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Eltahir Eltahir Ahmed, Ibnouf Mohamed Ahmed M, Ibnouf Mohammed M A M, Ahmed Mohamed H, Imam Mohammed Haroon, Ahmed Atif
Аннотация
INTRODUCTION: Spontaneous rupture of the pathological malarial spleen (SRPMS) is a rare condition with a mortality rate among travelers of approximately 38 %, whereas it was around 10 % for local citizens. The mortality rate for overwhelming post-splenectomy sepsis was reported to be about 50 %.
METHODS: A retrospective study was conducted from febraury2022 to July 2022. Baseline clinical presentations, management, and outcomes were recorded for analysis.
RESULTS: We present a brief series of eight patients with (SRPMS). Of them, five had successful conservative treatment, while three underwent splenectomy. Only one of them received Pneumococcal vaccine.
CONCLUSION: SRPMS is a rare complication of malaria infection, it can be managed non-surgically, and splenectomy is necessary for unstable patients. Post-surgery vaccination remains crucial to prevent severe infections.
METHODS: A retrospective study was conducted from febraury2022 to July 2022. Baseline clinical presentations, management, and outcomes were recorded for analysis.
RESULTS: We present a brief series of eight patients with (SRPMS). Of them, five had successful conservative treatment, while three underwent splenectomy. Only one of them received Pneumococcal vaccine.
CONCLUSION: SRPMS is a rare complication of malaria infection, it can be managed non-surgically, and splenectomy is necessary for unstable patients. Post-surgery vaccination remains crucial to prevent severe infections.