A Case of Spontaneous Splenic Rupture due to Malignant Lymphoma

Hiroshi Matsui*, Shigemitsu Andou, Kenji Sakakibara, Hideki Tsuji, Toshihiko Uragami, Syouji Karamatsu, Touru Kobayashi

*The Second Department of Surgery, Nagoya City University
Department of Surgery, Toyota Memorial Hospital

A 64-year-old woman, who had been admitted to a nearby hospital because of unknown fever of one week's duration and had no history of traumas, increasing LDH, thrombopenia and splenomegaly, was admitted to our hospital on an emergency basis because of left hypochondrium pain, anemia, increasing splenomegaly and suspicion of hemoperitoneum. Abdominal CT scan showed massive hemoperitoneum and rupture of the spleen. Emergency laparotomy was performed. The operative findings included extensive coagulation, dark red giant splenomegaly and splenic rupture from serosa to parenchyma. Splenectomy was performed. The resected spleen was 19.5×13.0×5.0 cm in size, 760 g in weights and was infiltrated by malignant lymphoma (diffuse large cell type). Postoperative chemotherapy was performed, but she died four months later.

Key words
spontaneous splenic rupture, malignant lymphorma

Reprint requests
Hiroshi Matsui The Second Department of Surgery, Nagoya City University
1-1 Aza-Kawasumi Kawasumi-cho, Mizuhoku, Nagoyashi, 467 JAPAN

Accepted
May 11, 1994

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