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Abstract
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Background: Isolated diffuse splenic hemangiomatosis is a rare condition. Case Report: We report a case of a 62-year old male accountant who had a sudden collapse while returning from work. Massive hemoperitoneum without splenomegaly was discovered clinically and further supported with the findings of ultrasonography. He died in transit to the theatre while being prepared for splenectomy. There was no history of fall or trauma to the abdomen. Past medical history was also not contributory. Autopsy showed hematoma and rent on diaphragmatic surface of spleen. Microscopic examination confirmed diffuse hemangiomatosis of the spleen. Conclusion: This case presents a situation in which death was natural but could have been taken for a homicide if the autopsy had not been done. Splenic hemangiomatosis could be clinically silent for years in the absence of other usual accompanying features. |
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Keywords :
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Autopsy, Hemangioma, Hemoperitoneum, Splenectomy, Splenomegaly.
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