Spleen rupture and ischemic cerebral stroke in a patient with recent myocardial infarction

A case is presented of recent anterior myocardial infarction in 40-year-old man, treated in acute stage with streptokinase and heparin, complicated by spleen rupture and splenectomy on the 6th day of infarction and by ischemic cerebral stroke on the 15th day. After 10-weeks of therapy patient left t...

Full description

Saved in:
Bibliographic Details
Published inPolskie archiwum medycyny wewne̦trznej Vol. 91; no. 1; p. 61
Main Authors Jankowski, K, Liszewska-Pfejfer, D, Ablewska, U, Zawadzka-Byśko, M
Format Journal Article
LanguagePolish
Published Poland 01.01.1994
Subjects
Adult
Brain Ischemia - etiology
Brain Ischemia - therapy
Follow-Up Studies
Humans
Male
Myocardial Infarction - complications
Myocardial Infarction - therapy
Rupture, Spontaneous
Splenic Rupture - etiology
Splenic Rupture - therapy
Online AccessGet more information

Cover

More Information
Summary:A case is presented of recent anterior myocardial infarction in 40-year-old man, treated in acute stage with streptokinase and heparin, complicated by spleen rupture and splenectomy on the 6th day of infarction and by ischemic cerebral stroke on the 15th day. After 10-weeks of therapy patient left the hospital in good clinical condition, which continued 6 months of out-patient follow-up. Results of our examinations excluded haematologic proliferative diseases as a cause of spleen rupture. Fever and recurring pains in the left hypochondrium occurring before infarction suggested possibility of infectious diseases with spleen involvement. In histopathological examination the spleen swelling (as a reaction on an infection) was found. The influence of fibrinolytic and anticoagulant therapy on spleen rupture was discussed. In pathogenesis of ischemic stroke, the thrombocythemia observed after splenectomy and platelet hyperactivity following thrombolytic therapy were taken into consideration.
ISSN:1897-9483