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Pathological splenic rupture: A rare complication of chronic myelomonocytic leukemia
Author(s) -
Goddard Shan Lynn,
Chesney Alden E.,
Reis Marciano D.,
Ghorab Zeina,
Brzozowski Mike,
Wright Frances C.,
Wells Richard A.
Publication year - 2007
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.20812
Subject(s) - chronic myelomonocytic leukemia , medicine , complication , pathological , spleen , pathology , bone marrow , myelodysplastic syndromes
Chronic myelomonocytic leukemia (CMML) is an uncommon disorder characterized by monocytosis of the peripheral blood, absence of the Philadelphia chromosome, fewer than 20% blasts, and one or more lineages showing dysplastic features. Splenomegaly is frequently seen and may be massive. A 56‐year‐old man with stable CMML and moderate splenomegaly presented to the emergency department with generalized abdominal pain and abrupt drop in hemoglobin. Abdominal imaging revealed splenic rupture and emergency splenectomy was undertaken, with complete recovery. Atraumatic rupture of the spleen has rarely been reported as a complication of CMML or other myelodysplastic disorders. This report should alert physicians to consider this diagnosis in patients with CMML and acute abdominal pain. Am. J. Hematol., 2007. © 2006 Wiley‐Liss, Inc.