Tolvaj Balázs, Hevér Tímea, Kálmán Bernadette, Vadvári Árpád
1 Vas Vármegyei Markusovszky Egyetemi Oktatókórház, Patológiai Osztály Szombathely, Markusovszky u. 5., 9700 Magyarország.
2 Észak-pesti Centrumkórház - Honvédkórház, Szív-, Ér- és Mellkassebészeti Osztály Budapest Magyarország.
Orv Hetil. 2023 Mar 12;164(10):393-397. doi: 10.1556/650.2023.32742.
Splenic rupture secondary to blunt trauma is a common condition. Non-traumatic, also known as spontaneous or pathological splenic rupture is an uncommon, but potentially life-threatening condition. Spontaneous splenic rupture caused by a primary splenic tumor is rare. In this case study, we present a special, benign tumor causing splenic rupture. Our 78-year-old female patient was hospitalized due to left shoulder pain and chest discomfort. Her blood pressure was low, the laboratory tests showed anemia, and the chest CT scan involving also the upper abdomen raised the suspicion of a splenic rupture. During the emergency splenectomy, there was a large amount of blood in the abdominal cavity. Macroscopic pathological examination of the removed spleen showed multifocal cystic lesions that led to splenic rupture. Immunhistochemical analyses revealed a littoral cell angioma. Littoral cell angioma is a rare, benign vascular tumor of the spleen, which is thought to originate from the red pulp sinuses lined with littoral cells. The aim of our report is to describe an unusual cause of sudden splenic rupture without traumatic history, the histologically benign littoral cell angioma that has not been published in Hungary. Orv Hetil. 2023; 164(10): 393-397.
钝性创伤继发脾破裂是一种常见病症。非创伤性脾破裂，也称为自发性或病理性脾破裂，虽不常见，但可能危及生命。原发性脾肿瘤引起的自发性脾破裂很少见。在本病例研究中，我们介绍了一种导致脾破裂的特殊良性肿瘤。我们的78岁女性患者因左肩疼痛和胸部不适入院。她血压低，实验室检查显示贫血，包括上腹部的胸部CT扫描引发了脾破裂的怀疑。在急诊脾切除术中，腹腔内有大量血液。切除脾脏的宏观病理检查显示多灶性囊性病变导致脾破裂。免疫组化分析显示为边缘细胞血管瘤。边缘细胞血管瘤是一种罕见的脾脏良性血管肿瘤，被认为起源于内衬边缘细胞的红髓血窦。我们报告的目的是描述一例无创伤史的突发性脾破裂的不寻常原因，即组织学上为良性的边缘细胞血管瘤，此病例在匈牙利尚未见报道。《匈牙利医学周报》。2023年；164(10): 393 - 397。
