v
Ahmed Atef M. A. Soliman, Mahmoud Galal Gheat, Mahmoud Fawzy,Mohammed Kheriba
Spontaneous rupture of the spleen is an uncommon dramatic abdominal emergency that requires immediate diagnosis and prompt surgical treatment to ensure the patients survival, we present a case of a 49-years-old male who was admitted to our emergency department with 10 days history of abdominal pain and distension. Abdominal ultrasound and computed tomography scan showed enlarged abnormal spleen with moderate intraperitoneal free fluid and suspected internal hemorrhage; Emergency splenectomy was performed successfully. Histological examination showed infiltration of the spleen by follicular lymphoma. Key words: Splenic rupture; Follicular lymphoma; Acute abdomen