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Table 2 Reported cases of spontaneous rupture of malarial spleen since 1960

From: Spontaneous rupture of malarial spleen: two case reports and review of literature

   

Long-term resident

     
 

Case

 

of malaria-endemic

Malarial

 

Symptoms and

Surgical

 

Reference

no.

Route

area

stage

Species

signs

therapy

Outcome

[16]

1

Natural

No

Chronic

P malariae

Shock, Kehr's sign

Splenectomy

Lived

      

LUQ tenderness

  

[17]

2

Natural

No

Acute

P vivax

LUQ pain, Kehr's

Splenectomy

Lived

      

sign

  

[18]

3

Natural

No

Acute

P falciparum

No material

No material

Lived

[19]

4

Induced

No

Acute

P vivax

Fever, Kehr's sign

Splenectomy

Lived

      

LUQ tenderness

  
 

5

Induced

No

Acute

P vivax

No material

Splenectomy

Lived

 

6

Induced

No

Acute

P vivax

No material

Splenectomy

Lived

 

7

Induced

No

Acute

P vivax

No material

Splenectomy

Lived

[20]

8

Natural

No

Acute

P falciparum

Kehr' sign

Splenectomy

Lived

      

LUQ pain

  

[21]

9

Natural

No

Acute

P vivax

Fever, back pain

None

Died

      

severe shock

  

[22]

10

Natural

No

Acute

P vivax

Fever, hypotension

None

Lived

      

diffuse peritoneal

  
      

signs

  

[23]

11

Natural

No

Acute

P falciparum

Hypotension, Kehr's

Splenectomy

Lived

      

sign, diffuse

  
      

peritoneal signs

  

[24]

12

Natural

No

Acute

P falciparum

Fever, LUQ pain

Splenectomy

Lived

[25]

13

Natural

Yes

Acute

P vivax

LUQ pain,

Splenectomy

Lived

      

palpitations

  
 

14

Natural

Yes

Acute

P vivax

LUQ pain, fever

Splenectomy

Lived

[26]

15

Natural

No

Acute

P malariae

Fever, headache,

None

Lived

      

LUQ pain

  

*

16

Natural

Yes

Acute

P vivax

LUQ pain, fever

Splenectomy

Lived

*

17

Natural

Yes

Acute

P vivax

Fever, palpation,

Splenectomy

Lived

      

fainting

  
  1. LUQ, left upper quadrant. *Reported herein.