Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension:A case report and review of the literature

自发的破裂是脾的错构瘤的稀罕复杂并发症。文学的评论揭示了仅仅四个如此的盒子。就我们的知识而言，这是与肝肝硬化和门静脉高血压联系的脾的错构瘤的自发的破裂的第一份报告。一个 53 岁的女人，被跟随在上面因为大动脉的解剖和丙肝病毒(HCV ) 联系了肝肝硬化，与突然的左胸和肩膀疼痛被提交。腹的超声证明流血的 intraabdominal，和显示的计算断层摄影术脾肿大破裂。突现的脾切除术被执行。手术后的功课是平静的，并且病人在第 13 手术后的天被解除。病理揭示了肿瘤是一个破裂的脾的错构瘤。非肿胀的脾的实质揭示了充血变化。我们认为肝肝硬化和门静脉高血压的存在是为脾的错构瘤的自发的破裂的风险因素。

Spontaneous rupture is a rare complication of splenic hamartoma. A review of the literature revealed only four such cases. To the best of our knowledge, this is the first report of spontaneous rupture of splenic hamartoma associated with liver cirrhosis and portal hypertension. A 53-year-old woman, who was followed up for aortic dissection and hepatitis C virus （HCV）-related liver cirrhosis, was referred with sudden left chest and shoulder pain. An abdominal ultrasound showed intraabdominal bleeding, and computed tomography indicated rupture of a splenic tumor. Emergent splenectomy was carried out. The postoperative course was uneventful, and the patient was discharged on the 13th postoperative day. Pathology revealed the tumor to be a ruptured splenic hamartoma. The non-tumorous splenic parenchyma revealed congestive changes. We consider that the presence of liver cirrhosis and portal hypertension are risk factors for spontaneous rupture of the splenic hamartoma.