Spontaneous splenic rupture in a patient with small-cell lung cancer.

Abstract

We report a case of a 66-year-old male patient presented to our pneumology ward with the diagnosis of neutropenic pneumonia. Therapy with granulocyte colony stimulating factors (G-CSF) and intravenous antibiotics was initiated as usual in this condition. The unexpected and acute onset of left-sided abdominal pain and sings of hypovolemic shock led us to a challenging diagnosis, rarely considered in non-traumatic patients. After pathological evaluation of the spleen, spontaneous splenic rupture due to G-CSF was our final diagnosis.

• Authors: Lígia Rodrigues Fernandes, Cláudia Lares dos Santos, Filipa Costa, F Barata
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2013 (Aug 01 2013) ISSN: 1757-790X [Electronic] England
• PMID: 23907972 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Humans
• Lung Neoplasms (complications)
• Male
• Rupture, Spontaneous (etiology)
• Small Cell Lung Carcinoma (complications)
• Splenic Rupture (etiology)