case_images: PMC6393918_01
case_images: Thoracic -abdominal CT with contrast medium which confirmed the presence of adenopathy in the mediastinal space.
case_images: CRII2019-5476383.001.jpg
case_images: PMC6393918_01_CRII2019-5476383.001.jpg
case_images: fig1
case_images: Port vein ectasia (24 mm) and splenic vein ectasia (25 mm) were highlighted (Figure 1).
case_images: Patient's spleen after splenectomy.
case_images: CRII2019-5476383.002.jpg
case_images: PMC6393918_01_CRII2019-5476383.002.jpg
case_images: fig2
case_images: As it was not an emergency surgery, in order to prevent any infectious surgical complication, IgG levels were maintained over 700 mg/dl for 2 months before splenectomy (Figure 2).
case_images: Histopathological analysis showed a diffuse plurifocal nodular white pulp hyperplasia characterized by an admixture of lymphocytes and aggregates of macrophages (H&E, 100x), follicular lymphoid hyperplasia (H&E, 100x) and pseudonodular necrotic area surrounded by prominent haemorrhagic parenchyma (H&E, 100x).
case_images: CRII2019-5476383.003.jpg
case_images: PMC6393918_01_CRII2019-5476383.003.jpg
case_images: fig3