Fatal rupture of the spleen caused by infiltration of T-cell lymphoma.
Pathological or spontaneous rupture of the spleen has been described in a variety of diseases affecting the spleen, with infections being cited as the cause in most cases. In hematological malignancies it is a rare event, despite the frequent involvement of the spleen in these diseases. It has, however, been described in patients with acute and chronic leukemia, Hodgkin's disease, non-Hodgkin's lymphoma of B-cell origin, mycosis fungoides, and so-called histiocytic lymphoma. Here, we present a fatal case of splenic rupture caused by infiltration of a peripheral T-cell lymphoma, unspecified according to the REAL classification. The importance of a correct diagnosis and fast surgery is emphasized.
Schiødt
I
I
Department of Hematology, Herlev University Hospital, Denmark.
Duun
E
E
Fischer
T K
TK
Christiansen
A P
AP
Ralfkiaer
E
E
D017809:Fatal Outcome; D006801:Humans; D016399:Lymphoma, T-Cell / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013154:Spleen / Q000473:pathology; D013161:Splenic Rupture / Q000209:etiology*