A Case of Atraumatic Splenic Rupture Due to T-Cell/Histiocyte-Rich Large B-Cell Lymphoma and a Potential Role for Massive Transfusion Protocol.

• Tác giả: Mary Baumgartner, Sara Bohjanen, Bree Chandler, J Carlos Manivel, John P Ratanawong, Anthony T Rezcallah
• Ngôn ngữ: eng
• Ký hiệu phân loại: 573.1636 *Circulatory system
• Thông tin xuất bản: United States : Case reports in surgery , 2025
• Bộ sưu tập: NCBI
• ID: 678779

Tóm tắt

Splenic rupture leads to massive hemorrhage and requires immediate surgical intervention. Splenic rupture results from trauma or from underlying disease processes. Lymphoma is a rare cause of atraumatic splenic rupture (ASR) with high mortality rates. We present a case of ASR due to T-cell/histiocyte-rich large B-cell lymphoma (THRLBCL) requiring splenectomy and large-volume transfusion. This case report highlights the necessity of prompt surgical intervention and massive transfusion for hemodynamically unstable ASR. This report also discusses massive transfusion protocol (MTP) and its limited use in nontraumatic surgical patients.