Polish Journal of Pathology
eISSN: 2084-9869
ISSN: 1233-9687
Polish Journal of Pathology
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abstract:
Case report

Spontaneous pathological splenic rupture as a first manifestation of mantle cell lymphoma – a case report and literature review

Antoni Knera
1
,
Wojciech Ciesielski
2
,
Adam Placek
1
,
Piotr Kruszyński
1
,
Marcin Braun
3
,
Julia Sołek
3
,
Janusz Strzelczyk
2
,
Adam Durczyński
2
,
Tomasz Klimczak
2
,
Piotr Hogendorf
2

  1. Students’ Scientific Association in the Department of General and Transplant Surgery, Medical University of Łódź, Łódź, Poland
  2. Department of General and Transplant Surgery, Medical University of Łódź, Łódź, Poland
  3. Department of Pathology, Chair of Oncology, Medical University of Łódź, Łódź, Poland
Pol J Pathol 2025; 76 (3)
DOI: https://doi.org/10.5114/pjp.2025.156558
Online publish date: 2025/11/28
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Splenic rupture is a critical surgical condition that poses an immediate threat to the patient’s life. In most cases, mechanical trauma to the organ results in the rupture of the capsule, leading to hemorrhage into the peritoneal cavity. Spontaneous (pathological) spleen rupture (SPSR) is considered when the etiology of the rupture is non-traumatic. Spontaneous (pathological) spleen rupture is most commonly associated with hematological malignancies, though it remains a rare condition. Only 8 cases have been caused by mantle cell lymphoma (MCL). This review presents the case of a 59-year-old male patient who was treated with emergency splenectomy due to SPSR. Histopathological examination revealed MCL.
keywords:

chemotherapy, MCL, splenectomy, spontaneous pathological splenic rupture
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