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August 1978

Spontaneous Rupture of the Spleen in Lymphoma

Author Affiliations

Savannah, Ga

Arch Surg. 1978;113(8):1014-1015. doi:10.1001/archsurg.1978.01370200108023

For over a century, spontaneous rupture of the spleen has been recognized to have its etiologic genesis in a variety of pathologic conditions. The many different causes of spontaneous splenic rupture have been well reviewed, but it was Knoblich1 in 1966 who first described this phenomenon in lymphoma.

Our review of the literature has yielded only seven previously reported cases of spontaneous splenic rupture secondary to involvement with lymphoma. We wish to add another case report of this rare entity.

Report of a Case.—A 67-year-old man had a mass in the left tonsillar fossa and difficulty in swallowing. Examination demonstrated a 1-cm firm, fixed left posterior cervical lymph node and a lesion infiltrating the left tonsil and base of the tongue. Biopsy disclosed a malignant histiocytic lymphoma. He received 5,000 rads through lateral ports with an additional 3,000 rads to the left posterior cervical region.

Fourteen weeks after