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Updated: Jul 14, 2026
02:09
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Unusual presentation of spontaneous splenic rupture.
Preeti Dalawari1, John C Vandover, Robert A Rosenbaum
1Department of Emergency Medicine at Christiana Care Health System in Newark, Del, USA.
Delaware Medical Journal
|June 1, 2007
Summary
A rare leukemia caused a man's spleen to rupture, leading to hypotension and emergency surgery. This case highlights the importance of considering medical conditions in spontaneous splenic rupture.
Area of Science:
- Internal Medicine
- Hematology
- Emergency Medicine
Background:
- Spontaneous splenic rupture is a rare but life-threatening condition.
- Hairy cell leukemia (HCL) is an uncommon B-cell leukemia that can affect the spleen.
Observation:
- A 47-year-old man presented with hypotension, fatigue, and upper respiratory symptoms.
- Bedside ultrasound revealed free intraperitoneal fluid, and diagnostic peritoneal lavage confirmed hemoperitoneum.
- Laparotomy identified a splenic rupture as the cause of the patient's condition.
Findings:
- Pathology confirmed the splenic rupture was due to hairy cell leukemia.
- This case demonstrates a rare presentation of HCL.
Implications:
- Clinicians should maintain a high index of suspicion for underlying medical conditions, such as HCL, in cases of spontaneous splenic rupture.
- Early diagnosis and management are crucial for improving patient outcomes in spontaneous splenic rupture.
- This case underscores the importance of considering hematological malignancies in the differential diagnosis of splenic emergencies.
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