title: Pathologic-spontaneous-rupture of the spleen as a presenting sign of splenic T-cell lymphoma--case report with review.
abstract: A 39 year-old man presented for surgery with epigastric pain, tachycardia, hypotension and a progressive decrease of hemoglobin due to blood loss. Immediate abdominal ultrasonography followed by prompt paracentesis revealed massive intraperitoneal hemorrhage. During emergency laparotomy, a linear, actively bleeding rupture of an enlarged spleen was found and splenectomy was performed. The patient survived and the post-operative course was uneventful. Histopathology of the spleen as well as bone marrow biopsy confirmed the diagnosis of T-Cell lymphoma. Chemotherapy was initiated 3 weeks after surgery. To the best of our knowledge, this is the first reported case of previously undiagnosed T-Cell lymphoma presenting as pathologic rupture of the spleen.
authors.affiliation: Department of Surgery, Western Galilee Hospital, Nahariya, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Haj
authors.forename: A
authors.initials: A
authors.lastname: Zaina
authors.forename: M
authors.initials: M
authors.lastname: Wiess
authors.forename: I
authors.initials: I
authors.lastname: Cohen
authors.forename: M
authors.initials: M
authors.lastname: Joseph
authors.forename: I
authors.initials: I
authors.lastname: Horn
authors.forename: A
authors.initials: A
authors.lastname: Eitan
mesh_terms: D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D006801:Humans; D016399:Lymphoma, T-Cell / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013154:Spleen / Q000473:pathology; D013160:Splenic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D013161:Splenic Rupture / Q000209:etiology* / Q000473:pathology