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Non-operative management of a splenic laceration in a patient with the Proteus syndrome

Wim Ceelen (UGent) , Jan De Waele (UGent) , Marc Kunnen (UGent) and Bernard de Hemptinne (UGent)
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Abstract
An adult patient with the Proteus syndrome sustained a grade III splenic laceration after falling off a horse. Clinical features of this rare disorder include subcutaneous and visceral hamartomatous tumours. The patient also suffered from chronic intravascular coagulation associated with extensive haemangiomatosis (Kasabach-Merritt syndrome). Considering the visceral anomalies and abnormal coagulation, a non-operative approach was preferred despite considerable transfusion requirement, and the patient successfully underwent embolisation of the splenic artery. This is the first reported case of splenic injury in a patient with Proteus syndrome.
Keywords
TRAUMA, TRANSMISSION, NONSURGICAL MANAGEMENT, NONOPERATIVE MANAGEMENT, Proteus syndrome, Kasabach-Merritt syndrome, splenic injury, embolisation, SON, GROWTH, TUMORS, CRITERIA

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Citation

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Chicago
Ceelen, Wim, Jan De Waele, Marc Kunnen, and Bernard de Hemptinne. 1997. “Non-operative Management of a Splenic Laceration in a Patient with the Proteus Syndrome.” Journal of Accident & Emergency Medicine 14 (2): 111–113.
APA
Ceelen, Wim, De Waele, J., Kunnen, M., & de Hemptinne, B. (1997). Non-operative management of a splenic laceration in a patient with the Proteus syndrome. JOURNAL OF ACCIDENT & EMERGENCY MEDICINE, 14(2), 111–113.
Vancouver
1.
Ceelen W, De Waele J, Kunnen M, de Hemptinne B. Non-operative management of a splenic laceration in a patient with the Proteus syndrome. JOURNAL OF ACCIDENT & EMERGENCY MEDICINE. 1997;14(2):111–3.
MLA
Ceelen, Wim, Jan De Waele, Marc Kunnen, et al. “Non-operative Management of a Splenic Laceration in a Patient with the Proteus Syndrome.” JOURNAL OF ACCIDENT & EMERGENCY MEDICINE 14.2 (1997): 111–113. Print.
@article{182358,
  abstract     = {An adult patient with the Proteus syndrome sustained a grade III splenic laceration after falling off a horse. Clinical features of this rare disorder include subcutaneous and visceral hamartomatous tumours. The patient also suffered from chronic intravascular coagulation associated with extensive haemangiomatosis (Kasabach-Merritt syndrome). Considering the visceral anomalies and abnormal coagulation, a non-operative approach was preferred despite considerable transfusion requirement, and the patient successfully underwent embolisation of the splenic artery. This is the first reported case of splenic injury in a patient with Proteus syndrome.},
  author       = {Ceelen, Wim and De Waele, Jan and Kunnen, Marc and de Hemptinne, Bernard},
  issn         = {1351-0622},
  journal      = {JOURNAL OF ACCIDENT \& EMERGENCY MEDICINE},
  keyword      = {TRAUMA,TRANSMISSION,NONSURGICAL MANAGEMENT,NONOPERATIVE MANAGEMENT,Proteus syndrome,Kasabach-Merritt syndrome,splenic injury,embolisation,SON,GROWTH,TUMORS,CRITERIA},
  language     = {eng},
  number       = {2},
  pages        = {111--113},
  title        = {Non-operative management of a splenic laceration in a patient with the Proteus syndrome},
  url          = {http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1342884/?tool=pmcentrez},
  volume       = {14},
  year         = {1997},
}