Ceroid histiocytosis : An unusual cause of atraumatic splenic rupture

A rare case of atraumatic splenic rupture due to ceroid histiocytosis is described in a 56-year-old man. During hospitalization, he complained of epigastric pain, which was not associated with nausea or vomiting. Hematologic indices showed steadily declining hemoglobin, and subsequent radiologic ima...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 94; no. 2; pp. 237 - 239
Main Authors WILSON, Christopher I, CABELLO-INCHAUSTI, Beria, SENDZISCHEW, Harry, ROBINSON, Morton J
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.02.2001
Subjects
Abdomen
Alcoholism - complications
Biological and medical sciences
Gastroenterology. Liver. Pancreas. Abdomen
Hematologic and hematopoietic diseases
Histiocytosis - complications
Histiocytosis - diagnosis
Humans
Male
Medical sciences
Middle Aged
Other diseases. Hematologic involvement in other diseases
Other diseases. Semiology
Rupture, Spontaneous
Splenic Rupture - complications
Splenic Rupture - diagnosis
Splenic Rupture - etiology
Human
Spleen
Alcoholism
Splenic disease
Male
Hemopathy
Histiocytosis
Case study
Concomitant disease
Abdominal disease
Tissue rupture
Sea blue histiocyte
Adult
Complication
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Summary:A rare case of atraumatic splenic rupture due to ceroid histiocytosis is described in a 56-year-old man. During hospitalization, he complained of epigastric pain, which was not associated with nausea or vomiting. Hematologic indices showed steadily declining hemoglobin, and subsequent radiologic imaging revealed massive splenomegaly. An exploratory laparotomy revealed hemoperitoneum associated with a subcapsular splenic rupture. Splenic pathology showed numerous ceroid-containing histiocytes. We believe this to be the fourth reported case in the English language of atraumatic splenic rupture due to ceroid histiocytosis.
ISSN:0038-4348
1541-8243
DOI:10.1097/00007611-200102000-00014