Rupture Spleen as Initial Presentation in A Patient of Chronic Myeloid Leukaemia: A Case Report

Authors

  • Mohammad Ibrahim Khalil Assistant Professor, Department of Surgery, Dhaka Medical College, Dhaka
  • Md. Nazmul Islam Associate Professor, Department of Otolaryngology and HNS, Dhaka Medical College, Dhaka
  • Mafruha Akter Assistant Professor, Department of Haematology, Dhaka Medical College, Dhaka
  • AZM Mostaque Hossain Professor & Head, Department of Surgery, Dhaka Medical College, Dhaka
  • Md. Amir Hossain Associate Professor, Department of Anaesthesiology, Shaheed Tajuddin Ahmad Medical College, Gajipur

DOI:

https://doi.org/10.3329/jsf.v13i2.27935

Keywords:

Rupture spleen, chronic myeloid leukaemia, abdominal pain

Abstract

A 22 years female student presented with sudden severe abdominal pain in left upper quadrant followed by abdominal distension. She attended in surgery unit of a tertiary health care center. On examination she was in shock and the abdomen was distended, tender. She was evaluated as  surgical acute abdomen and emergency laparotomy revealed rupture of spleen and splenectomy was done. Her CBC showed gross leucocytosis with predominance of neutrophils and significant number of myelocytes and the PBF showed the features of chronic phase of chronic myeloid leukaemia. BCR-ABL was positive from bone marrow that confirms the diagnosis. Splenomegaly is a common presentation of CML. However spontaneous rupture of spleen is a very rare presentation of CML. 

Journal of Science Foundation, 2015;13(2):52-54

DOI: http://dx.doi.org/10.3329/jsf.v13i2.27935

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Published

2016-05-29

How to Cite

Khalil, M. I., Islam, M. N., Akter, M., Hossain, A. M., & Hossain, M. A. (2016). Rupture Spleen as Initial Presentation in A Patient of Chronic Myeloid Leukaemia: A Case Report. Journal of Science Foundation, 13(2), 52–54. https://doi.org/10.3329/jsf.v13i2.27935

Issue

Vol. 13 No. 2 (2015)

Section

Case Reports