title: Spontaneous splenic rupture in a patient with small-cell lung cancer.
abstract: We report a case of a 66-year-old male patient presented to our pneumology ward with the diagnosis of neutropenic pneumonia. Therapy with granulocyte colony stimulating factors (G-CSF) and intravenous antibiotics was initiated as usual in this condition. The unexpected and acute onset of left-sided abdominal pain and sings of hypovolemic shock led us to a challenging diagnosis, rarely considered in non-traumatic patients. After pathological evaluation of the spleen, spontaneous splenic rupture due to G-CSF was our final diagnosis.
authors.affiliation: Department of Pulmonology, General Hospital - Hospital Center and University of Coimbra, Coimbra, Portugal. ligia.r.fernandes@gmail.com
authors.forename: Lígia Rodrigues
authors.initials: LR
authors.lastname: Fernandes
authors.forename: Cláudia Lares
authors.initials: CL
authors.lastname: dos Santos
authors.forename: Filipa
authors.initials: F
authors.lastname: Costa
authors.forename: F
authors.initials: F
authors.lastname: Barata
mesh_terms: D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous / Q000209:etiology; D055752:Small Cell Lung Carcinoma / Q000150:complications*; D013161:Splenic Rupture / Q000209:etiology*
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