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Related Experiment Video

Updated: May 30, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Primary splenic lymphoma presenting with ascites.

Nuala A Healy1, John B Conneely, Sarah Mahon

  • 1Department of Surgery, National University of Ireland, Galway;

Rare Tumors
|July 20, 2011
PubMed
Summary

This case report details a rare instance of primary splenic lymphoma (PSL) presenting as ascites in an elderly male. Diagnosis was confirmed via splenectomy, highlighting the challenges in identifying this uncommon non-Hodgkin

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Ascites01:19

Ascites

DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...

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Area of Science:

  • Hematology
  • Oncology
  • Pathology

Background:

  • Primary splenic lymphoma (PSL) is a rare malignancy, accounting for less than 1% of non-Hodgkin's lymphoma cases.
  • The spleen, crucial for immunological function, can be the primary site of lymphoma, often presenting with non-specific symptoms.

Observation:

  • An 84-year-old male presented with abdominal distension, anorexia, and epigastric pain, accompanied by hypochromic microcytic anemia.
  • Imaging revealed ascites and a left upper quadrant mass; ascitic fluid analysis showed bloody ascites with reactive mesothelial cells.
  • Histological examination of the resected spleen confirmed Grade 2 follicular lymphoma.

Findings:

  • The patient underwent splenectomy with an uneventful recovery and remained well at six months follow-up.
Keywords:
primary splenic lymphoma.

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Published on: November 15, 2024

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Last Updated: May 30, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Application of Microwave Ablation in Laparoscopic Partial Splenectomy
03:49

Application of Microwave Ablation in Laparoscopic Partial Splenectomy

Published on: November 15, 2024

  • Ascites is an uncommon presenting feature of primary splenic lymphoma, posing diagnostic challenges.

    • Implications:

    • This case underscores the importance of considering rare diagnoses like primary splenic lymphoma in patients with unexplained ascites and left upper quadrant masses.
    • Definitive splenectomy is crucial for accurate diagnosis and management of primary splenic lymphoma.
    • Early recognition and diagnosis are vital for improving patient outcomes in rare hematological malignancies.