Spontaneous Rupture of the Spleen on a Patient with Splenic Hemangioma and Multiple Cystic Lesions in Kidney and Liver. Case Report and Literature Review.

Objectives: A traumatic splenic rupture is a rare clinical entity with multiple possible underlying etiologies. The aim of this article is to report a case of unusual presentation of an average size splenic hemangioma of an asymptomatic patient with multiple other cystic lesions in kidneys and liver and to summarize the syndromes that include this pathologic entity. Report of case:We present a case of a 33 years old Caucasian male patient with no medical history known who presented at E.R. with acute abdominal pain and intense pallor. Emergency laparotomy was performed. Intraoperatory a massive hemoperitoneum and laceration of the spleen was found; splenectomy was performed. The surgical specimen was histologically analyzed. Results: The histological examination revealed vascular spaces of irregular size delimited by a single layer of blood endothelial cells with nuclei bulging into the lumen, without mitoses, separated by fibrous trabeculae. Diagnosis of splenic hemangioma was confirmed. Imagistic also found multiple cystic lesions in kidneys and liver. Conclusions: The case is notable because the patient was asymptomatic and developed the most severe complication of the splenic hemangioma and also because cystic lesions in other sites were associated. This is the reason why we made a literature review of syndromes which includes splenic hemangioma. [ABSTRACT FROM AUTHOR]