title: Spontaneous splenic rupture secondary to metastatic malignant spindle cell tumour.
abstract: We report a case of pathological splenic rupture as a manifestation of malignant metastatic spindle cell tumour. To the best of our knowledge, this is the first case report of an atraumatic-pathological rupture of the spleen secondary to metastatic malignant spindle cell tumour. A 63-year-old man with a previous history of right upper limb amputation for an axillary malignant spindle cell tumour was admitted with an acute abdomen. Computed tomography showed a ruptured spleen. The patient subsequently underwent splenectomy. Histopathology confirmed the presence of malignant metastatic spindle cell tumour. Pathological splenic rupture is a rare manifestation of metastatic malignant spindle cell tumour. Background oncological history and thorough examination of the musculoskeletal system may provide important clues to make a prompt diagnosis.
authors.affiliation: Department of General Surgery, Worthing Hospital, Worthing, West Sussex BN11 2DH, UK. surgeon1wrh@hotmail.com
authors.forename: Muhammad Shafique
authors.initials: MS
authors.lastname: Sajid
authors.forename: Pippa
authors.initials: P
authors.lastname: Howell
authors.forename: Catherine
authors.initials: C
authors.lastname: Leaver
authors.forename: Keith
authors.initials: K
authors.lastname: Roberts
authors.forename: Parv
authors.initials: P
authors.lastname: Sains
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology*; D012509:Sarcoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D013154:Spleen / Q000000981:diagnostic imaging / Q000473:pathology; D013156:Splenectomy; D013160:Splenic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D013161:Splenic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed