Spontaneous splenic rupture secondary to metastatic malignant spindle cell tumour
Sajid, M.S.; Howell, P.; Leaver, C.; Roberts, K.; Sains, P.
Singapore Medical Journal 53(10): E208-E210
2012
ISSN/ISBN: 0037-5675 PMID: 23112031 Document Number: 658183
We report a case of pathological splenic rupture as a manifestation of malignant metastatic spindle cell tumour. To the best of our knowledge, this is the first case report of an atraumatic-pathological rupture of the spleen secondary to metastatic malignant spindle cell tumour. A 63-year-old man with a previous history of right upper limb amputation for an axillary malignant spindle cell tumour was admitted with an acute abdomen. Computed tomography showed a ruptured spleen. The patient subsequently underwent splenectomy. Histopathology confirmed the presence of malignant metastatic spindle cell tumour. Pathological splenic rupture is a rare manifestation of metastatic malignant spindle cell tumour. Background oncological history and thorough examination of the musculoskeletal system may provide important clues to make a prompt diagnosis.