case_images: PMC10874475_01
case_images: CT scan of the abdomen and pelvis. The image shows an effusion of the part of the spleen (black arrow), consistent with splenic rupture. CT: computed tomography
case_images: cureus-0016-00000052536-i01.jpg
case_images: PMC10874475_01_cureus-0016-00000052536-i01.jpg
case_images: FIG1
case_images: An abdominal and pelvic contrast-enhanced CT scan demonstrated a splenic rupture with a subcapsular hematoma measuring approximately 11 x 4 cm, hyper-dense fluid surrounding the spleen, and some fluid surrounding the liver and in the pouch of Douglas (Figure 1).
case_images: Section of the spleen showing necrotizing caseating granuloma (black arrow)
case_images: cureus-0016-00000052536-i02.jpg
case_images: PMC10874475_01_cureus-0016-00000052536-i02.jpg
case_images: FIG2
case_images: The main pathology identified on spleen biopsy involved the presence of several necrotizing granulomas (Figure 2) with diffuse mild chronic inflammation, and a few medium-size-artery vasculitis were identified (Figure 3), which confirmed the diagnosis of spontaneous splenic infarction in GPA.
case_images: Section of the spleen showing inflammation in small to medium vessels (black arrow)
case_images: cureus-0016-00000052536-i03.jpg
case_images: PMC10874475_01_cureus-0016-00000052536-i03.jpg
case_images: FIG3
case_images: The main pathology identified on spleen biopsy involved the presence of several necrotizing granulomas (Figure 2) with diffuse mild chronic inflammation, and a few medium-size-artery vasculitis were identified (Figure 3), which confirmed the diagnosis of spontaneous splenic infarction in GPA.