Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture
<p>Abstract</p> <p>Background</p> <p>Spontaneous splenic rupture considered a relatively rare but life threatening. The three commonest causes of spontaneous splenic rupture are malignant hematological diseases, viral infections and local inflammatory and neoplastic dis...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-11-01
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| Series: | World Journal of Emergency Surgery |
| Online Access: | http://www.wjes.org/content/5/1/28 |
| _version_ | 1819139480661000192 |
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| author | Hassan Fadi K Cohen Hector I Hassan Kamal S Hassan Shadi K |
| author_facet | Hassan Fadi K Cohen Hector I Hassan Kamal S Hassan Shadi K |
| author_sort | Hassan Fadi K |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Spontaneous splenic rupture considered a relatively rare but life threatening. The three commonest causes of spontaneous splenic rupture are malignant hematological diseases, viral infections and local inflammatory and neoplastic disorders. We describe a unique and unusual case of inflammatory myofibroblastic tumor of the tail of pancreas presented with massively enlarged spleen and spontaneous splenic rupture.</p> <p>Case presentation</p> <p>A 19 years old male patient with no significant past medical history presented to emergency room with abdominal pain and fatigue. Massively enlarged spleen was detected. Hypotension and rapid reduction of hemoglobin level necessitated urgent laparatomy. About 1.75 liters of blood were found in abdominal cavity. A large tumor arising from the tail of pancreas and local rupture of an enlarged spleen adjacent to the tumor were detected. Distal pancreatectomy and splenectomy were performed. To our knowledge, we report the first case of massively enlarged spleen that was complicated with spontaneous splenic rupture as a result of splenic congestion due to mechanical obstruction caused by an inflammatory myofibroblastic tumor of the tail of pancreas. A review of the literature is also presented.</p> <p>Conclusion</p> <p>Inflammatory myofibroblastic tumor of the tail of pancreas should be included in the differential diagnosis of the etiological causes of massively enlarged spleen and spontaneous splenic rupture.</p> |
| first_indexed | 2024-12-22T11:23:20Z |
| format | Article |
| id | doaj.art-004d0ed1a133495b9ae1cc2cc824740a |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-22T11:23:20Z |
| publishDate | 2010-11-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-004d0ed1a133495b9ae1cc2cc824740a2022-12-21T18:27:48ZengBMCWorld Journal of Emergency Surgery1749-79222010-11-01512810.1186/1749-7922-5-28Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic ruptureHassan Fadi KCohen Hector IHassan Kamal SHassan Shadi K<p>Abstract</p> <p>Background</p> <p>Spontaneous splenic rupture considered a relatively rare but life threatening. The three commonest causes of spontaneous splenic rupture are malignant hematological diseases, viral infections and local inflammatory and neoplastic disorders. We describe a unique and unusual case of inflammatory myofibroblastic tumor of the tail of pancreas presented with massively enlarged spleen and spontaneous splenic rupture.</p> <p>Case presentation</p> <p>A 19 years old male patient with no significant past medical history presented to emergency room with abdominal pain and fatigue. Massively enlarged spleen was detected. Hypotension and rapid reduction of hemoglobin level necessitated urgent laparatomy. About 1.75 liters of blood were found in abdominal cavity. A large tumor arising from the tail of pancreas and local rupture of an enlarged spleen adjacent to the tumor were detected. Distal pancreatectomy and splenectomy were performed. To our knowledge, we report the first case of massively enlarged spleen that was complicated with spontaneous splenic rupture as a result of splenic congestion due to mechanical obstruction caused by an inflammatory myofibroblastic tumor of the tail of pancreas. A review of the literature is also presented.</p> <p>Conclusion</p> <p>Inflammatory myofibroblastic tumor of the tail of pancreas should be included in the differential diagnosis of the etiological causes of massively enlarged spleen and spontaneous splenic rupture.</p>http://www.wjes.org/content/5/1/28 |
| spellingShingle | Hassan Fadi K Cohen Hector I Hassan Kamal S Hassan Shadi K Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture World Journal of Emergency Surgery |
| title | Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| title_full | Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| title_fullStr | Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| title_full_unstemmed | Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| title_short | Unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| title_sort | unusual case of pancreatic inflammatory myofibroblastic tumor associated with spontaneous splenic rupture |
| url | http://www.wjes.org/content/5/1/28 |
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