case_images: PMC8437672_01
case_images: (a) Coronal CT depicting the ruptured spleen (yellow arrow) with concomitant bleeding in the left upper quadrant. (b) The ruptured spleen (red arrow) in axial CT.
case_images: CRIS2021-9918154.001.jpg
case_images: PMC8437672_01_CRIS2021-9918154.001.jpg
case_images: fig1
case_images: He underwent computed tomography (CT) scan which revealed splenic rupture and bleeding located in the left upper quadrant (Figure 1).
case_images: (a) Metastatic moderately differentiated adenocarcinoma just below the hemorrhage and neutrophilic infiltrate formed under the splenic capsule tear (H-E x100). (b) Neoplastic glands with dirty necrosis in their lumina, embedded in a desmoplastic stroma with moderate inflammatory infiltration (H-E x200).
case_images: CRIS2021-9918154.002.jpg
case_images: PMC8437672_01_CRIS2021-9918154.002.jpg
case_images: fig2
case_images: Microscopically, its morphological characteristics were indicative of metastatic adenocarcinoma moderately and focally poorly differentiated, with necrosis present (Figure 2).
case_images: (a) Diffuse and intense cytoplasmic staining of the neoplastic glands with K7 (K7 x200). (b) Diffuse and intense cytoplasmic staining of the neoplastic glands with K19 (K19 x200).
case_images: CRIS2021-9918154.003.jpg
case_images: PMC8437672_01_CRIS2021-9918154.003.jpg
case_images: fig3
case_images: Immunohistochemical examination results suggested that the primary site was the pancreas or biliary tract (Figure 3).