Pregnancy with abdominal pain identified as lymphoma companied with spontaneous spleen rupture: one case report and literature review
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Abstract: 27-years old woman with 33 weeks of pregnancy, admitted to infection disease department for abdominal pain and fever.She was transferred to ICU because of pulmonary failure at night.She received cesarean section at next morning.Everything seemed to be improved until the next day.Shock, respiratory failure, acute kidney injury, DIC—all arrived at once.Abdominal laparotomy immediately and found spontaneous spleen rupture.Spleen biopsy and bone marrow aspiration showed invasive lymphoma.The clinical and laboratory findings associated with lymphoma accompanied pregnancy were often mistakenly diagnose.Spleen rupture is a very rare situation in pregnant.So it is hard to identify this disease earlier.This patient suffered a very critical situation, respiratory failure twice, shock, coagulation dysfunction, and so on.Multidisciplinary team is the key point to rescue this patient.
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Key words:
- pregnancy /
- abdominal pain /
- lymphoma /
- spleen rupture /
- ICU
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