Spontaneous rupture of the spleen in relation to a non-Hodgkin lymphoma.
A 35-year-old man was admitted for surgery with complaints of left upper abdominal quadrant pain, tachycardia and hypotension with no history of trauma. A splenomegaly had just been diagnosed one week before, during, the work up for asthenia. An immediate CT scan revealed an intraperitoneal haemorrhage with splenic rupture. During emergency laparotomy, a splenic rupture was found and a splenectomy was performed. Histopathology of the spleen confirmed the diagnosis of a non-Hodgkin lymphoma.
Chappuis
J
J
Service de chirurgie digestive, coelioscopique et thoracique, CHU Brugmann-ULB, Bruxelles, Belgique.
Simoens
C
C
Smets
D
D
Duttmann
R
R
Mendes da Costa
P
P
D000328:Adult; D018951:Antigens, CD20 / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen / Q000378:metabolism; D007813:Laparotomy; D017493:Leukocyte Common Antigens / Q000378:metabolism; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism; D008297:Male; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology*; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D013163:Splenomegaly / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D018951:Antigens, CD20; D019394:Ki-67 Antigen; D017493:Leukocyte Common Antigens