A Case of Pathologic Splenic Rupture as the Initial Manifestation of Acute Myeloid Leukemia M2.
10.3349/ymj.2010.51.1.138
- Author:
Ji Sun HAN
1
;
Sung Yong OH
;
Sung Hyun KIM
;
Hyuk Chan KWON
;
Sook Hee HONG
;
Jin Yeong HAN
;
Ki Jae PARK
;
Hyo Jin KIM
Author Information
1. Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. kimhj@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Acute myeloid leukemia M2;
pathologic;
splenic rupture
- MeSH:
Adult;
Humans;
Leukemia, Myeloid, Acute/*diagnosis/pathology/radiography;
Male;
Splenic Rupture/*diagnosis/pathology/radiography;
Tomography, X-Ray Computed
- From:Yonsei Medical Journal
2010;51(1):138-140
- CountryRepublic of Korea
- Language:English
-
Abstract:
A pathologic splenic rupture refers to a rupture without trauma. A splenic rupture as the initial manifestation of acute myeloid leukemia is extremely rare. In this study, we described a rare case of acute myeloid leukemia presenting principally as an acute abdomen due to a pathologic splenic rupture in a 35-year old male patient. We can assert that a pathologic splenic rupture in hematologic diseases is a potentially life-threatening complication, which necessitates immediate operative intervention. Any such patient complaining about left upper abdominal tenderness should be closely observed, and further diagnostic investigations (ultrasonograph of the abdomen, abdominal CT scan) should be initiated in order to rule out a splenic rupture. The oncologist should be aware of this rare initial presentation of acute myeloid leukemia (AML) M2, as the condition generally necessitates a prompt splenectomy.
