A Case Report of Splenic Rupture Secondary to Underlying Angiosarcoma

Figures

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  Figure 1. Initial CT chest, abdomen, and pelvis w/o IV contrast Significant for dense, abnormal fluid within the abdomen and pelvis Right) Coronal view; Left) Axial view IV: intravenous

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  Figure 2. Hematoxylin and eosin-stained image of the spleen, low power Normal splenic white pulp (WP) and red pulp (RP) adjacent to the invading nodules of spindle cells forming thin, narrow vascular channels encompassing erythrocytes (arrows)

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  Figure 3. Hematoxylin and eosin-stained image of the spleen Neoplastic endothelial nuclei with mitoses forming anastomosing vascular channels

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  Figure 4. Specimen of the spleen, CD34 immunostain CD34 immunostain positive nodules containing spindle cells, consistent with an endothelial origin

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  Figure 5. CT abdomen, pelvis: re-evaluation for metastatic disease Significant for hepatomegaly, with multiple areas of hypodensity concerning for metastasis Right) Coronal view; Left) Axial view CT: computed tomography

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  Figure 6. PET-CT: re-evaluation for metastatic disease Confirmation of metastatic disease, extensive liver involvement with multiple large hyperbolic hepatic metastases Right) Coronal view; Left) Axial view PET-CT: positron emission tomography-computed tomography