case_images: PMC11832353_01
case_images: (A, B) Ultrasound imaging revealed a 7.8 x 6 cm hypoechoic mass within the spleen.
case_images: fonc-15-1449966-g001.jpg
case_images: PMC11832353_01_fonc-15-1449966-g001.jpg
case_images: f1
case_images: FAST imaging revealed intraperitoneal and perisplenic fluid, along with splenic masses, resulting in the diagnosis of splenic rupture ( Figure 1 ).
case_images: PMC11832353_02
case_images: (A-C) Abdominal enhanced CT imaging revealed a large splenic mass, demarcated by the red line, measuring 7.8 x 6.5 cm in diameter, situated within a homogeneous low-density area. This mass was well-separated from the surrounding healthy splenic tissue. Additionally, a substantial amount of hemoperitoneum was detected within the pelvic, perisplenic, and perihepatic regions, as indicated by the purple line demarcating the area.
case_images: fonc-15-1449966-g002.jpg
case_images: PMC11832353_02_fonc-15-1449966-g002.jpg
case_images: f2
case_images: Significant amounts of pelvic, perisplenic, and perihepatic fluids were also noted ( Figure 2 ).
case_images: Macroscopic view of the surgical specimen.(A, B) Gross specimen: Macroscopy revealed a bulging splenic cut surface. The intrasplenic tumor mass had a yellow macroscopic appearance, with polycyclic contours crossed by fibrous partitions. These nodules were clearly separated from the normal spleen parenchyma. A tear of 2 cm was observed on the capsule of the splenic tumor.
case_images: fonc-15-1449966-g003.jpg
case_images: PMC11832353_02_fonc-15-1449966-g003.jpg
case_images: f3
case_images: The splenic capsule in the mass spontaneously ruptured with active bleeding ( Figure 3 ).
case_images: Pathological features of the spleen: lymphomatous cells filling the splenic sinuses (A). IHC features of the spleen. Diffuse and strong CD 20 positivity was observed in lymphoma cells (B). Lymphomatous cells were weakly positive for CD 3 (C), CD 5 (D), and CD 10 (E) but negative for Cyclin-d 1 (F). The Ki-67 proliferation index was approximately 80% (G).
case_images: fonc-15-1449966-g004.jpg
case_images: PMC11832353_02_fonc-15-1449966-g004.jpg
case_images: f4
case_images: Additionally, the Ki67 proliferation index was found to be 80% ( Figure 4 ).
case_images: PMC11832353_03