Article Text
Summary
Pathological or spontaneous splenic rupture is a rare but well-recognised complication of haematological malignancies. The authors present a clinical report of a 78-year-old woman with known clinical history of chronic lymphocytic leukaemia and atrial fibrillation under anticoagulation with apixaban which has spontaneous splenic rupture. Pathological examination revealed lymph node and splenic infiltration due to chronic lymphocytic leukaemia. The diagnosis of splenic rupture must be considered in all patients with haematological malignancies who experience acute abdomen. Given the severity, it requires a correct and timely diagnosis.
- haematology (incl blood transfusion)
- adult intensive care
- malignant and benign haematology
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Footnotes
Contributors IMN contributed with conception and design, acquisition of data, analysis and interpretation of data. AIP contributed with acquisition of data, analysis and interpretation of data. RC contributed with revising the article critically for important intellectual content. AR contributed with final approval of the version published.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.