Abstract
Introduction. Splenic hematomas usually occur after blunt abdominal trauma. Most of the subcapsular hematomas will be resolved and reabsorbed spontaneously. However in rare cases, some of them organize and form calcified splenic masses. Angiosarcoma is an uncommon primary tumor of the spleen. Splenic angiosarcoma behaves extremely aggressive and has poor prognosis. Case Presentation. We report a forty-nine-year-old white male with organized splenic hematoma due to traffic accident mimicking splenic angiosarcoma. Conclusion. Both angiosarcoma and splenic organized hematoma have nonspecific symptoms and clinical findings. Because of the risk of hemorrhage and rupture, fine-needle biopsy should not be preferred. In case of splenic masses, excision and spleen-conserving surgery or total splenectomy should be performed.
Highlights
Splenic hematomas usually occur after blunt abdominal trauma
We reported a case of splenic mass in a patient with previous blunt abdominal trauma that was reported as splenic angiosarcoma at magnetic resonance imaging
Metastases occur in about 80% of patients and most common sites are liver, lung, lymph nodes, and bone
Summary
The spleen is one of the most injured organs after blunt abdominal trauma [1, 2]. Of the splenic injuries due to blunt abdominal trauma, 40–70% can be followed without surgical intervention [1,2,3]. The hematoma, rarely, organizes and at last calcifies [1]. Primary angiosarcoma of spleen is a rare malignancy [4,5,6]. Imaging technics are important for the diagnosis, they rarely give differential information about the nature of the splenic masses [5, 6]. We reported a case of splenic mass in a patient with previous blunt abdominal trauma that was reported as splenic angiosarcoma at magnetic resonance imaging.
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