A Case of Malignant Lymphoma which Caused Pathologic Rupture of the Spleen

Abstract

A 63-year-old man, who had a diagnosis of diffuse large B-cell lymphoma following cervical lymph node biopsy, was admitted to our hospital with abdominal pain and low blood pressure. Enhanced CT showed splenic rupture and extravasation in his spleen. Urgent TAE was performed, and no further intraperitoneal bleeding was recognized. Seven days after TAE, systemic chemotherapy was started. Spontaneous rupture of spleen is a rare clinical condition. In many cases, an open splenectomy has been performed, but hemostasis with TAE can be a useful option for splenic rupture.