A casereport of empyema by ruptured spleen with malignant lymphoma in stomach

Abstract

Weexperienced a rare case of empyema by ruptured spleen with malignant lymphomain stomach. A 71 year-old man was admitted to our hospital diagnosed as asevere pneumonia. Chest X-ray and CT suggested pleural effusion. Only 2 mL ofpurulent fluid was removed from the chest by centesis. Surgical drainage wasscheduled. During surgery, pus and food debris were found in the chest.Perforated stomach by spleen tumor ruptured into the chest. Adhesiotomy,splenectomy, partial gastrectomy, lung lower partial lobectomy, and suture ofdiaphragm were performed. Weaning from ventilator was performed on the 4thpostoperative day. He was discharged from intensive care unit on the 7thpostoperative day successfully. His spleen tumor was diagnosed as B cellmalignant lymphoma. Intraoperative judgement and postoperative care saved thisrare case.