Chronic lymphocytic leukemia, a rare cause of spontaneous rupture of the spleen

Madani, Ayoub; Mabrouk, Mohamed Yassine; Abdelouahab, Hajar; Kamaoui, Imane; Miry, Achraf; Hamaz, Siham; Serraj, Khalid; Jabi, Rachid; Bouziane, Mohamed

doi:10.1016/j.ijscr.2022.107315

Cited by 2 publications

(1 citation statement)

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“…43,44 Hynes et al suggested that one of three processes may be involved: (1) congestion of the spleen by blast cells; (2) abnormal coagulation resulting in intrasplenic and subcapsular haemorrhage; or (3) splenic infarction. 45 Other haematological cancers associated with splenic rupture include Hodgkin lymphoma (Figure 3(C) and (D)), adult T-cell leukaemia, 46 chronic lymphoid leukaemia, 47 mantle cell leukaemia, 48,49 and multiple myeloma. 50 In cases of multiple myeloma, splenomegaly may be associated with amyloid accumulation within the spleen.…”

Section: Malignancymentioning

confidence: 99%

Unexpected death involving the spleen – an overview

2023

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The spleen is located in the left upper quadrant of the abdominal cavity and has both immunological and haematological functions. A variety of quite different entities may be associated with sudden death due to splenic involvement. These range from simple traumatic disruption of the parenchyma of a normal spleen with marked intra-abdominal haemorrhage, to conditions such as malaria and infectious mononucleosis where splenomegaly predisposes to rupture. Haematological diseases such as malignancies and haemoglobinopathies may causes sudden death due to haemorrhage or red cell sequestration. Asplenia or polysplenia may be associated with significant congenital heart disease. Hyposplenia, both structural and functional, may also result in rapid demise from sometimes unusual bacterial infections. Vascular abnormalities causing death include entities such as splenic artery aneurysms. Thus, deaths from splenic pathology may be due to localised issues or may be part of more generalised disease. For this reason the autopsy in cases of splenic-associated deaths must be comprehensive and include special testing such as microbiological screening and/or haematologic/genetic evaluation.

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