Spontaneous splenic rupture secondary to metastatic malignant spindle cell tumour.
- Author:
Muhammad Shafique SAJID
1
;
Pippa HOWELL
;
Catherine LEAVER
;
Keith ROBERTS
;
Parv SAINS
Author Information
1. Department of General Surgery, Worthing Hospital, Worthing, West Sussex BN11 2DH, UK. surgeon1wrh@hotmail.com
- Publication Type:Case Reports
- MeSH:
Humans;
Male;
Middle Aged;
Rupture, Spontaneous;
diagnostic imaging;
etiology;
Sarcoma;
complications;
diagnostic imaging;
pathology;
Spleen;
diagnostic imaging;
pathology;
Splenectomy;
Splenic Neoplasms;
complications;
diagnostic imaging;
pathology;
Splenic Rupture;
diagnostic imaging;
etiology;
Tomography, X-Ray Computed
- From:Singapore medical journal
2012;53(10):e208-10
- CountrySingapore
- Language:English
-
Abstract:
We report a case of pathological splenic rupture as a manifestation of malignant metastatic spindle cell tumour. To the best of our knowledge, this is the first case report of an atraumatic-pathological rupture of the spleen secondary to metastatic malignant spindle cell tumour. A 63-year-old man with a previous history of right upper limb amputation for an axillary malignant spindle cell tumour was admitted with an acute abdomen. Computed tomography showed a ruptured spleen. The patient subsequently underwent splenectomy. Histopathology confirmed the presence of malignant metastatic spindle cell tumour. Pathological splenic rupture is a rare manifestation of metastatic malignant spindle cell tumour. Background oncological history and thorough examination of the musculoskeletal system may provide important clues to make a prompt diagnosis.
