ArticleInternational journal of surgery case reports2025
Spontaneous splenic rupture: A rare complication of concurrent malaria and dengue infections - A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Effective conservative management of superior mesenteric artery syndrome presenting with chronic vomiting and postprandial pain in a young adult female: a case report.International journal of surgery case reports · 2026Article
- Retrograde intramedullary nailing for femoral shaft fracture with ipsilateral dynamic hip screw fixation for femur neck fracture; dual fixation. Case study.International journal of surgery case reports · 2025Article
- Unmasking portal hypertension: A case of diagnostic distraction by chronic hemoptysis.International journal of surgery case reports · 2025Article
- A rare pediatric case: Budd-Chiari Syndrome and upper gastrointestinal bleeding in a 5-year-old boy.International journal of surgery case reports · 2025Article
- A Rare Case of Postpartum Cerebral Venous Thrombosis and Hemorrhagic Infarction From Somalia.International medical case reports journal · 2025Article
- True Spontaneous Splenic Rupture Mimicking Peptic Ulcer Disease: A Case Report.Clinical medicine insights. Case reports · 2025Article
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Authors and funding
6 authors.
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Abstract
introductionSpontaneous splenic rupture (SSR) is a rare, life-threatening complication, sometimes associated with infections like malaria and dengue fever. This case report details a unique presentation of SSR. CASE PRESENTATION: A 28-year-old male in Somalia presented with fever, epigastric pain, nausea, vomiting, and body aches, consistent with malaria and dengue. Following self-discharge after initial malaria treatment, his condition deteriorated rapidly, leading to severe abdominal pain and hypotension. Laboratory tests confirmed malaria and dengue, with low hemoglobin. A CT scan revealed a large hemoperitoneum and splenic rupture requiring emergency laparotomy and splenectomy. Post-operative recovery was uneventful. DISCUSSION: This case highlights the diagnostic challenges posed by overlapping symptoms of malaria and dengue, potentially masking SSR. The concurrent infections likely contributed to splenomegaly, increasing rupture risk. While SSR has been linked to malaria or dengue individually, this case suggests a potential synergistic effect of co-infection. The patient's self-discharge emphasizes the importance of patient education and treatment adherence. Successful surgical intervention underscores the critical role of prompt medical care.
conclusionThis is the first reported case of SSR secondary to concurrent Plasmodium falciparum malaria and dengue fever in Somalia. This highlights the need for improved diagnostic tools, healthcare infrastructure, and targeted public health interventions in endemic regions. Further research is crucial to understand the synergistic effect of these co-infections in inducing SSR.
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