Intrasplenic Hemorrhage Mimicking Mycotic Aneurysm in a Patient on Hemodialysis

Masahiko YAMAGUCHI; Kiichiro WATANABE; Mareki YAGISAWA; Hiroshi NAKANO; Yutaka SANADA; Kaoru KUMADA

doi:10.15369/sujms1989.10.77

Masahiko YAMAGUCHI, Kiichiro WATANABE, Mareki YAGISAWA, Hiroshi NAKANO, Yutaka SANADA, Kaoru KUMADA

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Keywords: splenic abscess, hemodialysis, intrasplenic mycotic aneurysm, fibrocongestive splenomegaly, portal hypertension

JOURNAL FREE ACCESS

1998 Volume 10 Issue 1 Pages 77-81

DOI https://doi.org/10.15369/sujms1989.10.77

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Abstract

An intrasplenic hemorrhage that mimicked mycotic aneurysm and was successfully treated with splenectomy' developed in a 40-year-old man who had been receiving hemodialysis for 4 years. The resected specimen showed a ruptured arterial wall and a large cavity containing a hematoma with microscopic abscesses in the congestive spleen. We describe this unusual complication of chronic hemodialysis and discuss the possible etiology.

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