A 68-year-old patient suffered from cramp-like abdominal pain in the left, especially during the day Upper abdomen instructed in our emergency room. The patient did not suffer from nausea or vomiting. There were no B symptoms (inexplicable fever, massive night sweats, unwanted weight loss). Pronounced splenomegaly was found on ultrasound. The contrast-enhanced computed tomography image showed tumorous splenomegaly with liquid internal structure (a). The indication for splenectomy was made on an interdisciplinary basis. The completely removed spleen weighed 3.4 kg and was extremely enlarged at 24 × 16 × 22 cm (b). The left ovary and the falciform ligament, which were suspect in the situs, were also resected. Histopathologically, the cause of all tumorous changes was serous papillary carcinoma of the peritoneum. This rare carcinoma mostly affects older women. Morphologically, it corresponds to serous ovarian carcinoma, but is 7 to 12 times rarer and has similarly unfavorable prognosis. The patient received chemotherapy with carboplatin and paclitaxel and is currently (1 year postoperatively) under outpatient oncological control.
Dr. med. Peter Hilbert-Carius, Dr. med. Ingmar Kaden, Tobias Berg, Dr. med. Nadja Weigert, BG-Klinikum Bergmannstrost Halle gGmbH, Halle (Saale), peter.hilbert@bergmannstrost.com
Conflict of interest: The authors declare that there is no conflict of interest .
How to quote: Hilbert-Carius P, Kaden I, Berg T, Weigert N: A rare cause of splenomegaly. Dtsch Arztebl Int 2018; 115: 116 . DOI: 10.3238 / arztebl.2018.0116b
►The German version of this article is available online: www.-international. de
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