AI Article Synopsis

  • Spontaneous splenic rupture is a rare but serious medical condition often linked to various underlying health issues like infections or neoplasms.
  • An unusual case involves a 73-year-old man who developed upper abdominal pain after falling, leading to a diagnosis of splenomegaly and a ruptured spleen via CT angiography.
  • During emergency surgery, doctors found significant bleeding in the abdomen and identified the spleen's damage as part of a rare dendritic cell tumor disorder.

Article Abstract

Spontaneous splenic rupture is a rare and life-threatening phenomenon, usually associated with an underlying infectious, inflammatory, hematological, neoplastic or rheumatologic condition. Indeterminate cell tumor is a rare neoplastic dendritic cell disorder that is poorly understood but shares immunophenotypic markers for Langerhans cells without Birbeck granules. A 73-year-old man presented with upper abdominal pain after an unwitnessed fall. Computed tomography angiography showed splenomegaly and a large ruptured splenic subcapsular hematoma. Intraoperative findings from an emergency laparotomy revealed a large hemoperitoneum and a ruptured spleen. Microscopic sections identified numerous, mostly poorly formed, small nodules classified as a proliferation of indeterminate dendritic cell tumors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9173739PMC
http://dx.doi.org/10.1093/jscr/rjac211DOI Listing

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