Baldomir MT, Jiménez GG, Vergara HM

Language: Spanish
References: 7
Page:
PDF size: 78.54 Kb.

ABSTRACT

A case of a 54-year-old patient with a history of episodes of marked asthenia, weight loss and pain in the left rib cage that was exacerbated when walking is reported. The patient began with epigastric pain and underwent an endoscopy that showed an ulcer on the greater curvature of the stomach and chronic gastritis. Days later, the appearance of dark stool indicated the existence of an upper gastrointestinal bleeding. He was admitted to hospital but died of cardiopulmonary arrest. The histopathology report indicated a splenic hemangioma with gastric rupture. Hemangiomas are the most common primary tumors of the spleen, however, most of splenic hemangiomas are discovered incidentally and its clinical significance is often due to the possibility of complications and the need to differentiate them from other diseases.

REFERENCES

1. Capote Pereira L, Carral Novo JM, Pérez Bomboust I, Capote Leiva E, Rebollar Martínez A. Ruptura esplénica espontánea postrasplante y angiomatosis difusa del bazo. Rev Cub Med Milit [Internet]. 2006 [citado 3 dic 2011];35(3):[aprox. 4 p.]. Disponible en: http://bvs.sld.cu/revistas/mil/vol35_3_06/mil11306.htm

2. Gonzalo Pérez-Chávez A, Escárcega Ricardo O, Salazar-Ibarguena J, García-Carrasco M. Hemangioma esplénico. Gac Méd Méx. 2007;143(6):523.

3. Bonne H, Bagg A, Cossman J. The blood and lymphoid organs. In: Pathology. 3rd ed. Philadelphia: Lippincott- Raven; 2002. p.1101.

4. Manuel Navarro J, Ferrer R, Juárez L, Oliver I, Fernández-Frías A. Tratamiento laparoscópico del quiste esplénico primario. Cir Esp. 2006;80(05):340-2.

5. Kumar M, Tripathi K, Khanna R, Kumar M, Khanna AK. Hemangiopericytoma del bazo: presentación inusual como abscesos. World J Surg Oncol. 2005;3:77.

6. Esplenomegalia asintomática por hemangioma esplénico. An Med Int. 2001;18(12): 655-56.

7. Schoen FJ, Cotran RS. Vasos sanguíneos. En: Robbins Patología estructural y funcional.6ta ed. México: GrawHill-Interamericana; 2000. p. 559-60.