Reviewer: Jaleh Mansouri, M.D. (see Reviewers page)
Revised: 9 April 2013, last major update October 2012
Copyright: (c) 2003-2013, PathologyOutlines.com, Inc.
- Due to blunt trauma or abdominal surgery, causing hemoperitoneum and emergency splenectomy
- Only rarely ruptures spontaneously (associated with acute splenitis, amyloidosis [rare], infectious mononucleosis, inflammatory disorders, leukemia / lymphoma, malaria, other tumors, peliosis lienis, pregnancy, subacute bacterial endocarditis, typhoid fever)
- Splenic rupture may be delayed after trivial/minor trauma
Splenic laceration due to trauma|
Grossly enlarged with hematoma|
- Rupture may be a very small capsular tear, often in superior pole or hilum
- Neutrophils below capsular tear with intraparenchymal hemorrhage; also lymphoid hyperplasia with prominent marginal zone
Subcapsular splenic nodule in splenic pregnancy|
Due to pancreatic adenocarcinoma|
End of Spleen > General > Rupture
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