Clinical Report: Hidden Splenic Rupture Identified During Left-Sided VATS Decortication
Overview
This case study highlights the occurrence of splenic rupture during video-assisted thoracic surgery (VATS) for empyema clearance.
Background
Video-assisted thoracic surgery (VATS) is increasingly preferred for thoracic procedures due to its minimally invasive nature. However, splenic rupture, although rare, poses a significant risk during left-sided VATS procedures.
Data Highlights
No numerical data or trial data was provided in the article.
Key Findings
A 69-year-old male patient experienced hemodynamic instability during VATS for left-sided empyema clearance.
Intraoperative exploration did not reveal an obvious source of bleeding.
Post-procedural FAST confirmed splenic rupture, which was managed promptly.
The patient fully recovered and was discharged 17 days after surgery.
Clinical Implications
The case emphasizes the necessity of performing early FAST diagnostics in patients experiencing hemodynamic instability during VATS.
Conclusion
This case highlights the occurrence of splenic rupture during VATS procedures.