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spontaneous361733701002866105143170206244279319357385
spleen40193370100286681117153190
bleeding:42253370100385389125163178216254270
a4511337010034
case45613370100296593129
report47063370100245997136160189
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literature5038337010014295691116151177216240275
review53293370100235895111146199
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E295617227010066104147
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Vnitř36438043010771118137165192
Lék3854804301074184122
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VNITŘNÍ47598043010792152173218266326347
LÉKAŘSTVÍ5127804301074184130188236280325378400
www.casopisvnitrnilekarstvi.cz42580430107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
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cause9659870275101222350455573
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spontaneous18989870275104233358486575698826944107111981302
spleen32729870275104233299418536665
bleeding:40089870275129195313432561627755883952
a42512470275116
case58312470275101223327445
report11001247027592211340466558651
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literature22731247027566132221339432550640768861980
review33241247027593211334400518689
Lenka4251635013756114180239298
Nosáková1,7451635013776140188247306369425483122116430803612551635013729
Martin13061635013793152194236267332
Schnierer1,16601635013759109174239269327370428470212816430803621621635013729
Jakub22131635013745103163227293
Hoferica1,25291635013775139177235278308357416293816430803629721635013729
Miroslav30231635013793124166230277308366423
Pindura2,3468163501376493158224288330388385516430803638921635013729
Juraj39431635013745109152209240
Marcinek3,42061635013793151193243274338397457466616430803647021635013729
Juraj4251785013745110152209241
Miklušica2,6881785013793124184215279328358408466115317930803611911785013729
Katarína12421785013767126166224266296361419
Stašková1,1683178501376099158206266328385443211817930803621531785013729
Ľudovit22041785013756119185249306336377
Laca2,26031785013756115165223282517930803628631785013729
Peter29141785013764120161219262
Bánovčin1,31981785013767125190253310358388453364317930803636781785013729
1Clinic425194607833456193901336489113174199247
of727193901336092
Gastroenterological8421939013371124167204239299354415450504539599625685747772821874899
Internal1765193901332686122175211272324350
Medicine,21381939013388144206232280305365420442
Martin26031939013388142177216241301
University29271939013371131156209263298342367403457
Hospital34081939013371132175236262298351377
and38081939013353113175
Jessenius4006193901334196139182237298323382425
Faculty44541939013354102151211236272326
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Medicine49191939013389144207232280305365420
Comenius4252089013364122214269330355414457
University9052089013372132156209263298342367403457
in1386208901332686
Martin14952089013389142177216241301
2Clinic425224607833458223901336489113174199247
of729223901336092
Surgery8442239013354114149210265300355
and12232239013353113175
Transplant1421223901335584137197239301327379440475
Centre,19192239013364117178213248303324
Martin22672239013388141176215240301
University25912239013371131156209262298342367403457
Hospital30712239013372133175237263298352377
and34712239013353114176
Jessenius3670223901334196139181236297322382425
Faculty41182239013353102151210236272326
of4467223901336192
Medicine45832239013388144206231280305365420
Comenius50262239013364123214269330355415457
University4252389013371131156209262298342367403457
in905238901332686
Martin10152389013388141177216241301
3Department4252546078334592539013373129191244280319410465526561
of1043253901336192
Pathological11582539013359110146206266292352414439488541566
Anatomy,17482539013367127180215274365415432
Martin22042539013388141176215240300
University25282539013371131156209262298342367403457
Hospital30082539013372133175237262298352377
and34082539013353114176
Jessenius3607253901334196139181236297322382425
Faculty40552539013353102151210236272326
of4404253901336192
Medicine45202539013388143206231280305365420
Comenius49632539013364123214269330355415457
University4252689013371131156209262298342367403457
in905268901332686
Martin10152689013388141177216241301
Rupture4253198012153109166200255288339
of786319801215281
the889319801213186137
spleen1048319801213794119170221277
is1347319801212161
a14303198012145
serious1497319801213788122146201257297
medical18163198012180131189213258308332
condition2169319801214397153210234268291347403
manifesting25943198012180129185209239289329364388443500
as3116319801214585
a32233198012145
sudden3290319801213792149206257313
abdominal36253198012146103161216300324380428452
event,4099319801214896145201234256
potentially43773198012154111144194250283307355379403451
life-threatening.485031980121214474125159193249282332381414464520544599656677
Spontaneous4253338012149107164220254303360411468524564
spleen1012333801214097122174226282
rupture1317333801213389147181237271322
is1661333801212464
a17473338012149
rare1818333801213483117167
condition.20083338012145100157214238272297353409431
Atraumatic2462333801216194127177232317366399423469
rupture2953333801213490148182238271322
of3297333801215686
the3405333801213490142
spleen3569333801214098123174226283
is3874333801212464
a39603338012149
very4031333801214999133184
unlikely42383338012155112136160208258283331
condition.45913338012146101157215239273297353410432
Risk5045333801215580120167
factors5235333801212979125162217250292
include425347801212378123147201257308
splenomegaly,754347801213793117167223278361411468516540587603
hemato-oncological13793478012152102185233266320354411466511565589644701724769817841
diseases,2242347801215376115166214253303343364
and26283478012144100156
infections,2805347801212176105155201236260314370409430
such3257347801213691136190
as3469347801214584
malaria35753478012179127151199231255303
or3900347801215184
infectious4006347801212075104154200235259314369408
mononucleosis.44363478012179134190245300355400423473529568591631652
Extremely5110347801214694130163212295346370417
rare425361801213382116167
is614361801212969
splenic7053618012145102128179236260305
rupture1033361801213894152186242275326
described13813618012162114154200234258316368426
in1829361801212985
autoimmune19373618012153109143198222307391446503554
disease2513361801216287127178227267319
or2854361801216094
vasculitis.29703618012154104144190246270294328352392414
There34073618012155112164198248
has36783618012161110150
been38503618012162114166223
no40953618012161117
reported4234361801213989147204238275326384
case46403618012150100140192
of4854361801216090
spontaneous49673618012145102159216249299355407463520560
splenic425375801214097122173230254300
rupture747375801213490148182238272322
as1092375801214989
a12033758012149
first127537580121305790132167
manifestation14643758012184133190214244295336371420454478534591
of2077375801215686
Churg-21853758012159115171204261294
Strauss2501375801215082116166221261302
syndrome2825375801214089147204238294378430
so3277375801214097
far.3396375801213080114131
Key4253925012461113164
words:6103925012475133171232276302
spontaneous932392801214096152208240289344395450506545
spleen1498392801214096120171222277
rupture,1796392801213389145178233266316335
Churg-Strauss,21533928012158112167200255287335366399447502541580601
vasculitis.2775392801214897136181236259282315338378399
Zriedkavá4254180015067116150212281349413479543
príčina10054180015068117151205240308373
spontánneho14154180015055124191259307372440509572640708
krvácania21604180015067117186250303368437471536
sleziny:2733418001505589153208242310378415
kazuistika31854180015067131187255289345392426494558
a37814180015064
prehľad38824180015069118181250285350419
literatúry4338418001503468116178228291338407456527
Ruptúra4254378012154111170205261296347
sleziny795437801214166118164189246294
je1112437801212678
závažný,1213437801214596145195241298346364
potencionálne16004378012158116151202260307332389447497522579632
život2255437801214469120176210
ohrozujúci24894378012156114148205249306332388435460
stav2972437801214177128177
manifestujúci31724378012185135192217249301342378435461518565589
sa3785437801214192
ako3900437801215098154
náhla40774378012157107165190240
brušná4340437801215893151192249299
príhoda.4662437801215994119178235295345368
Spontánna50534378012151109167225259310367424474
ruptúra425451801213390149184241275326
sleziny774451801214166119164189246294
je1091451801212678
veľmi11924518012150101127212238
zriedkavá1453451801214479104157216265316364415
príhoda.1891451801215893119178235294344367
Atraumatické2282451801216295130180237322372407432479527578
ruptúry2883451801213491150185242277329
sleziny3235451801214166119164190247294
bývajú35524518012181129183233259316
asociované38914518012172113170218243300349399457509
s44234518012141
rizikovými4487451801213460105130179235284336423448
faktormi,4958451801213081130168224259345370392
ako5374451801214998153
sú:425465801214096118
splenomegália,5664658012141100126178236293378431490540565590640663
hemato-onkologické12524658012157109195245280336371431488537593619676735760807855906
ochorenia21814658012156104161218253305363388438
a26424658012149
infekcie,2714465801212582113166215260285338359
ako3097465801214998154
malária32744658012184135160210244270320
a36174658012150
infekčná3690465801212482113165214260317367
mononukleóza.40804658012185142199257314371420447499557601652676
Extrémne47794658012150101139173225311368420
vzácne5223465801214996148195252304
sú425479801214096
zaznamenané5444798012151103149206256341394452502559611
prípady11794798012165100125184235294343
ruptúry1545479801214199158193250284336
sleziny1905479801214873125171196253301
pri22294798012165100126
autoimunitných23784798012156113148204230315371429454489546594640697
ochoreniach30984798012163111168225260312369395444491548
alebo3669479801215783135194252
vaskulitídach.39444798012156107148197254279304339365423473520577600
Zatiaľ45674798012164115149174224250
nebol48404798012164117176234260
popísaný51234798012165123182208249300357405
prípad425493801215792117176226285
spontánnej7334938012158117174232266317374431483509
ruptúry1265493801213289147182239273326
sleziny,1614493801213863115161186243290308
ako1945493801214796151
prvej2120493801215590143194220
manifestácie23634938012182132189214245297339374425472497549
Church-29354938012157113170204250307341
Straussového3299493801214881116166223264305362411462519576
syndrómu,3898493801213989147205240296382438461
ktorý4382493801214684140174227
prezentujeme4632493801215590142187239296331387413465550603
v52584938012147
tejto5328493801213283109144200
kazuistike.425507801214798144201226267303328376427449
Kľúčové425524601235886145190246296346
slová:792524601234268124174225248
spontánna1061524801214096152208240289344400448
ruptúra1530524801213288145178233265314
sleziny1865524801213963113156180235280
,21675248012120
Churg-Strauss,22095248012158112167199255287335366398447502541580601
vaskulitída.2831524801214897136183238261284317340397445466
Introduction425577401383296141188251315379429474508570634
Rupture565594301074593143170218245288
of872594301075276
the968594301073280124
spleen1112594301073887107151195244
is1375594301072356
a14515943010745
serious1515594301073882109128176224257
medical17925943010778122172191231272291
condition2103594301074491140189208236255303351
manifesting24745943010778119167185209253286315334382431
as425608301074174
a5196083010744
sudden583608301073683133182226274
abdominal877608301074494144192266285333374392
event,1289608301074788131179206222
potentially15316083010753102129172220247266306325343383
life-threatening193460830107224165108137165214240283323350393441459507557
(1).25106083010727678598
In2628608301072270
most27186083010776125158187
cases,425622301074081114158191207
rupture651622301072371121148195221264
of934622301074569
the1022622301072572116
spleen115862230107307998142186234
is1411622301071648
a14796223010737
result1535622301072466100146165192
of1747622301074468
a18356223010737
trauma.189162230107255193140213253269
Spontaneous2180622301073887135184210251299343391439471
spleen267162230107307998142186234
rupture425636301072776126154203230273
is719636301072559
an798636301074896
extremely914636301075192123150194268313333374
rare1308636301073375102146
condition1474636301074795144194213242261310359
and1853636301074897147
is2020636301072659
usually2099636301075589136178197216257
not23766363010755104132
taken2528636301073577116159208
into2756636301072675102149
consideration425650301074188138172190240285312355383402451501
in946650301072675
the1041650301073584129
differential1190650301075776100128173200244293320340381400
diagnosis1611650301075675116167216265299318351
of1983650301075580
acute2083650301074889138167210
abdominal2314650301074898149199274293342384403
pain27376503010758100119168
(1-2).42566430107246487126148161
In606664301072472
this698664301073381100132
report,850664301073275124174201232248
we11176643010771114
present1251664301075582125159203251278
a15486643010747
clinical161466430107466583131149190231250
case1884664301074587120164
of2068664301075377
spontaneous2165664301073988137186213254302346395443476
spleen2661664301073988108152196245
rupture425678301072776126154202229272
in717678301072674
a8116783010748
patient879678301075698126145189238265
with1164678301077291120169
unknown13536783010754103141191240306355
autoimmune1728678301074896124171191265339387435480
vasculitis,2228678301074789123164212232250279298331347
as2595678301074881
a26966783010748
first276467830107305177112141
manifestation4256923010774114163181205249282311353380398446495
of940692301074872
disease.1031692301074968101145185218263277
Clinical3047577401385688121185218268329362
Case34445774013857118171230
A31875943010754
52-year-old3260594301075193118158202242268293343363412
woman36925943010772120195236284
with3995594301077392120168
previous4183594301075683126167186235283316
history4519594301075573106135182208252
of4790594301075579
asthma4888594301074881110159233274
bronchial5181594301075784131180221269287328346
disease304760830107496799142181213257
was33236083010768108141
examined3483608301074785126198216263306356
at3857608301074571
the3947608301073178121
emergency40876083010747120163189236279326366408
department4513608301075396145185211241314357404430
with4962608301076887114161
abdominal5142608301074493142190263281328367385
pain3047622301075090108155
and3221622301074491140
repeated3380622301073072121165204230272321
vomiting.3720622301074490164181208226273322337
She4076622301074592135
gave4230622301075292131173
a44226223010745
history4485622301075270102130175201244
of4747622301075275
fatigue,484162230107276894112160207250264
weight51246223010768111128177224250
loss5392622301072370103135
of3047636301074871
831376363010748
kg,3204636301074390105
pain3328636301075494112159
in3506636301072370
the3595636301073380123
upper37376363010752101150194220
abdomen3976636301074594143190264307354
lasting434963630107246396124142189237
for4605636301072875101
months.47256363010778126173199247279295
She5038636301074794137
indicated5194636301072370119136176216242284333
regular3047650301072668116162179218243
use3308650301074375117
of3444650301074365
prednisone,3528650301074570111160206223254301348390404
PPI,395065030107408399113
and4082650301073682130
diuretics.4230650301074462107132173200217256289304
Clinical455365030107466481127144182222240
examination4811650301073977117188206252291316334380427
pointed5256650301074593110157182223271
pain3047664301074989106153
in3218664301071460
epigastrium.3297664301073987104152191223250275293339410425
Laboratory3740664301073677125172198238263308334375
tests413366430107246497124157
showed4309664301072975121184226275
serious460266430107297196114161207238
hyponatraemia4859664301074380129176223262288313353396467485523
(119540066430107205891127
mmol/l)30476783010774148196216247267291
and3357678301074795144
hypochloraemia3521678301075492143192233281299347374415459533551591
(854131678301073072115
mmol/l),42656783010780154202221253273297310
normocytic45946783010754103129204252293335366384424
anaemia,5037678301074895136180253271311327
and5383678301074795144
elevated3047692301074463106146187214256306
level3372692301072568108151170
of3561692301075477
C-reactive3657692301075773100142182222252270311353
protein4029692301075683129156198216263
(50mg/l).4311692301073072115189238270290313326
Patient4656692301075191117136179227253
was49286923010771112145
admitted5092692301074796169187214244287336
to5447692301073480
KORESPONDENČNÍ42573430954092133171210249303355407445496542593610
ADRESA105373430954799140178216262
AUTORA:133373430954795134186227276291
MUDr.1642734309562112164188200
Miroslav185973430956380104146176193229265
Pindura,21427343095405699143186209247261
miroslav.pindura@gmail.com242173430956582106148178195232267278324341384428471495532590635701737754771786822864930
Clinic4257463095466379122139175
of61874630954264
Surgery69974630953880104147186210249
and96574630953780124
Transplant11077463095375693136166210228264307332
Centre,145674630954684127151176214227
Martin170174630956299123151168211
University192974630955093110147185209240257282320
Hospital226774630955093124168185210248265
and254974630953780124
Jessenius4257583095286798128167210227270299
Faculty74275830953770106149166192230
of98975830954364
Medicine1071758309562102147164200217260299
Comenius138875830954587154193236253296325
University173175830955093109146185209240256282320
in206875830951760
Martin2145758309563100123151168211
Kollárová42577030954082100117153177219256293
2,73577030953953
03680677030953976115
0193977030953975
Martin103177030956399123151168211
Cit.43917406095466388103
zkr:45117406095336792108
Vnitř463674060954183100125149
Lék480374060953674109
2022;68(2):E29-E31492974060953978115154168209249270308329342380420458485524564599
Článek45307526095466399142182216
přijat47637526095456986103139164
redakcí:494475260952462107144178213230243
31.52057526095397484
1.530775260953949
2022537475260953977114154
Článek43327646095466399142182216
přijat45657646095456986103139164
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