SPLEEN HAMARTOMA with THROMBOCYTOPENIA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 50YO MALE PATIENT HAS GOT PAIN AT HIS LEFT THORAX.
ULTRASOUND DETECTS A BIG SPLEEN EMBEDDING  A TUMOR IN LOWER POLE WITH SIZE of 10CM. THERE ARE BENDING SIGN and HYPOVASCULAR SUPPLY of THE TUMOR, WHILE  THE HEART HAS NOTHING ABNORMAL DETECTED.


CT SCAN WITH CE FIND OUT A HYPODENSE and HYPOVASCULAR TUMOR IN LOWER POLE OF THE SPLEEN.


PLATELET COUNTS ARE VERY LOW IN VALUE =40K/mL.

THIS CASE HAD OPERATION ON APRIL, 7,  AS A PLATELET TRANSFUSION UP TO 87K/mL. FIRST BY LAPAROSCOPY, VIEWING THE SPLEEN IS SMOOTH BORDER, AND A SPLENECTOMY IS DONE.
IN MACROSCOPIC SECTION, THE TUMOR IS WELL BORDERED, HOMOGENEOUS, CHOCOLATE-LIKE STRUCTURE.
THE MICROSCOPY RESULT IS A SPLENIC HAMARTOMA.

WAIT FOR PLATELET GET RISING BACK TO NORMAL  AFTER THE SPLEEN TUMOR BEING REMOVED .
IT IS A RARE CASE IN THE WORLD.
SEE REFERENCES ON INTERNET.

Advertisements
This entry was posted in ultrasound research, vietnamese ultrasound. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s