Splenic artery avulsion in a high school football player : a case report
Deutscher übersetzter Titel: | Abriss der Milzarterie bei einem High School Footballspieler : ein Fallbericht |
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Autor: | Ralston, David J.; Scherm, Michael J. |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 39 (2004), 2, S. 201-205, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201011008954 |
Quelle: | BISp |
Abstract
Objective: To present the case of a high school football player who sustained avulsion of 2 branches of the splenic artery from his spleen as he was tackled and landed on the football. Background: A high school football player was tackled and fell onto the football, left side first. He was examined by a certified athletic trainer and an internist. On evaluation, he had a positive Kehr sign, exquisite left upper abdominal quadrant tenderness, and complaint of nausea. He also exhibited signs of the onset of shock, including diaphoresis, a rapid pulse, and hypotension. He was immediately transported by ambulance to the local emergency facility. Differential Diagnosis:
Splenic rupture, splenic laceration, splenic artery avulsion, or ruptured viscus.
Treatment: Emergency surgery was performed, with removal of 2800 mL of blood and ligation of the 2 arterial branches avulsed from the spleen. The patient fully recovered within 6 weeks and was cleared to resume all sports activities.
Uniqueness: Injury to the spleen in football is a known yet very uncommon injury. Even more unusual is the avulsion of splenic artery branches from the spleen.
Conclusions: It is critical that athletic trainers and team physicians have an understanding of the mechanisms, signs, and symptoms of splenic injury. Because the spleen is a highly vascular organ, severe hemorrhage can be fatal in just minutes if not recognized and appropriately treated. Verf.-Referat