Pathologic rupture of the spleen as the initial manifestation in acute lymphoblastic leukemia

Pathologic rupture of the spleen as the initial manifestation in acute lymphoblastic leukemia

Pathologic splenic rupture is a rare and life-threatening complication of acute leukemia. It is even more uncommon as the initial manifestation, and only a few cases has been reported in the literature. Early recognition of this complication is vital because the prognosis is fatal without immediate...

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Veröffentlicht in:Haematologica 1998, Vol.83 (8), p.760-761
Hauptverfasser: Bernat, S, García Boyero, R, Guinot, M, López, F, Gozalbo, T, Cañigral, G
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container_title Haematologica
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creator Bernat, S
García Boyero, R
Guinot, M
López, F
Gozalbo, T
Cañigral, G
description Pathologic splenic rupture is a rare and life-threatening complication of acute leukemia. It is even more uncommon as the initial manifestation, and only a few cases has been reported in the literature. Early recognition of this complication is vital because the prognosis is fatal without immediate treatment by splenectomy. We report the case of a spontaneous spleen rupture irreversibly complicating the onset of acute lymphoblastic leukemia in a 19-year-old man, in spite of splenectomy. In our case abdominal ultrasound was a good, non-invasive diagnostic test. Therefore, we believe that the course of the underlying disease and the physical condition of the patient dramatically influenced the disease evolution.
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title Pathologic rupture of the spleen as the initial manifestation in acute lymphoblastic leukemia
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