A Case of the Spontaneously Ruptured Splenic Angiosarcoma

Tsuyoshi Ono, Youichi Ikeda, Takahiro Ezaki, Taisuke Toyomasu, Kanji Oiwa, Nobuhiro Koyanagi , Seizou Minagawa

Department of Surgery, Iizuka Hospital

There are very rare cases of splenic tumors if which are benign or malignant. Only few cases of the splenic angiosarcoma were reported. We experienced a case of spontaneously ruptured splenic angiosarcoma. 72-year-old woman in hemorrhagic shock was transported by ambulance to our hospital with epigastralgia. Enhanced abdominal computed tomography showed a ruptured splenic tumor. Emergency splenectomy was performed. The tumor was immunohistochemically found to be an angiosarcoma by anti-Factor VIII staining. Spontaneously ruptured cases of the splinic angiosarcoma are poor prognosis, also she was dead 11 months after operation with liver and bone metastasis. Fifty cases of splenic angiosarcoma have been reported in Japan, and among them, spontaneous rupture occurred in only 9. We report about this case and about characteristics of the spontaneously ruptured cases.

Key words
angiosarcoma, spleen, spontaneous rupture

Reprint requests
Tsuyoshi Ono Department of Surgery, Iizuka Hospital
3-83, Iizuka, Yoshio-machi, Fukuoka, 820 JAPAN

Accepted
April 23, 1997

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