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Medicina Legal de Costa Rica
On-line version ISSN 2215-5287Print version ISSN 1409-0015
Abstract
BALMACEDA CHAVES, Marcela and VARGAS SANABRIA, Maikel. Ruptura atraumática del bazo: a propósito de un caso. Med. leg. Costa Rica [online]. 2015, vol.32, n.2, pp.145-151. ISSN 2215-5287.
Case of a 33 years old male bearing four discs hernias who went through surgical instrumentation, where he lost 3 liters of blood and received multiple transfusions. Next day reported pain and sensitivity alteration on the left leg; returns to surgery because one bold was not well positioned. Released from the hospital, and two days later returned with hematemesis, epistaxis, and jaundice, went back to the hospital where he died from a hypovolemic shock due to a spleen rupture. The non-traumatic spleen rupture is very infrequent in absence of risk factors, such as trauma or a base pathology.
Keywords : Non traumatic spleen rupture; surgical instrumentation; multiple transfusions; bleeding on massive transfusions.