Spontaneous splenic rupture secondary to metastatic malignant spindle cell tumour

Sajid MS, Howell P, Leaver C, Roberts K, Sains P
Correspondence: Mr Muhammad Shafique Sajid, surgeon1wrh@hotmail.com

ABSTRACT
We report a case of pathological splenic rupture as a manifestation of malignant metastatic spindle cell tumour. To the best of our knowledge, this is the first case report of an atraumatic-pathological rupture of the spleen secondary to metastatic malignant spindle cell tumour. A 63-year-old man with a previous history of right upper limb amputation for an axillary malignant spindle cell tumour was admitted with an acute abdomen. Computed tomography showed a ruptured spleen. The patient subsequently underwent splenectomy. Histopathology confirmed the presence of malignant metastatic spindle cell tumour. Pathological splenic rupture is a rare manifestation of metastatic malignant spindle cell tumour. Background oncological history and thorough examination of the musculoskeletal system may provide important clues to make a prompt diagnosis.

Keywords: atraumatic spleen rupture, malignant spindle cell tumour, splenectomy
Singapore Med J 2012; 53(10): e208–e210