Splenic Rupture and Massive Hemoperitoneum Due to Coagulopathy after Atheris Viper Snakebite

Jiří Valenta, Zdeněk Stach, Eva Vagenknechtová, David Hoskovec

Splenic Rupture and Massive Hemoperitoneum Due to Coagulopathy after Atheris Viper Snakebite

Číslo: 3/2021
Periodikum: Prague Medical Report
DOI: 10.14712/23362936.2021.19

Klíčová slova: Snakebite, Atheris viper, Coagulopathy, Splenic rupture, Hemoperitoneum, Splenectomy

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Anotace: Coagulopathy with defibrination is one of symptoms accompanying snakebite envenoming, where life-threatening complications such as massive bleeding and organ hematomas formation can occur. Here, we report a case of hemocoagulation failure due to bite by African Great Lakes bush viper Atheris nitschei with impossibility of specific treatment for absence of antivenom and its life-threatening complication: very rare and unexpected atraumatic splenic rupture with massive hemoperitoneum and necessity of urgent splenectomy.