case_images: PMC8184328_01
case_images: CT abdomen (axial) demonstrating subcapsular hematoma.
case_images: CRIS2021-5553619.001.jpg
case_images: PMC8184328_01_CRIS2021-5553619.001.jpg
case_images: fig1
case_images: CT abdomen (coronal) demonstrating hemoperitoneum.
case_images: CRIS2021-5553619.002.jpg
case_images: PMC8184328_01_CRIS2021-5553619.002.jpg
case_images: fig2
case_images: Macroscopy multiple hematomas are present underneath the capsule.
case_images: CRIS2021-5553619.003.jpg
case_images: PMC8184328_01_CRIS2021-5553619.003.jpg
case_images: fig3
case_images: At macroscopy, the pathology report demonstrated that the spleen had a normal size with a weight of 182 g, the capsule was torn on multiple sides, and several subcapsular hemorrhages and hematomas were documented with a variable range from 4.5 cm to 2 cm (Figure 3).
case_images: 10x EE: subcapsular hematoma (upper) and expansion of red pulp of the spleen that appears congested with multiple extravasated erythrocytes.
case_images: CRIS2021-5553619.004.jpg
case_images: PMC8184328_01_CRIS2021-5553619.004.jpg
case_images: fig4
case_images: At microscopy, the white pulp showed normal compartmentalization of B and T lymphocytes, demonstrated also by immunohistochemistry (CD3 and CD20), and the red pulp showed sinuses normal in size but increased in number, with a slight decrease in chordal tissue and capillaries (Figures 4-6).
case_images: 4x EE: expansion of red pulp and normal lymphoid follicles in the white pulp.
case_images: CRIS2021-5553619.005.jpg
case_images: PMC8184328_01_CRIS2021-5553619.005.jpg
case_images: fig5
case_images: At microscopy, the white pulp showed normal compartmentalization of B and T lymphocytes, demonstrated also by immunohistochemistry (CD3 and CD20), and the red pulp showed sinuses normal in size but increased in number, with a slight decrease in chordal tissue and capillaries (Figures 4-6).
case_images: 4x E-E: the capsule of the spleen is torn apart and a voluminous hematoma is compressing the spleen's parenchyma beyond it.
case_images: CRIS2021-5553619.006.jpg
case_images: PMC8184328_01_CRIS2021-5553619.006.jpg
case_images: fig6
case_images: At microscopy, the white pulp showed normal compartmentalization of B and T lymphocytes, demonstrated also by immunohistochemistry (CD3 and CD20), and the red pulp showed sinuses normal in size but increased in number, with a slight decrease in chordal tissue and capillaries (Figures 4-6).