Pathologic rupture of the spleen as the initial manifestation in acute lymphoblastic leukemia.
Pathologic splenic rupture is a rare and life-threatening complication of acute leukemia. It is even more uncommon as the initial manifestation, and only a few cases has been reported in the literature. Early recognition of this complication is vital because the prognosis is fatal without immediate treatment by splenectomy. We report the case of a spontaneous spleen rupture irreversibly complicating the onset of acute lymphoblastic leukemia in a 19-year-old man, in spite of splenectomy. In our case abdominal ultrasound was a good, non-invasive diagnostic test. Therefore, we believe that the course of the underlying disease and the physical condition of the patient dramatically influenced the disease evolution.
Bernat
S
S
García Boyero
R
R
Guinot
M
M
López
F
F
Gozalbo
T
T
Cañigral
G
G
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000175:diagnosis*; D011693:Purpura / Q000209:etiology; D012422:Rupture, Spontaneous; D013161:Splenic Rupture / Q000209:etiology*