A male patient 56 year-old with one day of pain at left side of abdomen, obesity, and five-year chronic leukemia. His history is noted splenohepatomegaly and cirrhosis and controlled type 2 diabetes.
At Medic Center ultrasound detects free fluid in abdomen and big spleen with hematoma inside which makes thought about a spontaneous spleen laceration without any injured causes in spite of spleen infarction.
Surgery in emergency is done to remove the # 180x120x80 mm spleen and hemostasis procedure.
At the middle of anteromedial face of spleen it exists a #50 mm long and 30 mm deep laceration line. Bloody fluid in abdominal cavity is an amount of 1.8 liter.
The patient goes through successfully the operation but comes back with an 80x89 mm spleen bed abscess which is solved by medical management.
Chronic leukemia and obesity and DM may induce a spontaneous spleen laceration.
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