Hemorrhagic Ascites: An Unusual Presentation of Primary Splenic Lymphoma

Hemorrhagic Ascites: An Unusual Presentation of Primary Splenic Lymphoma

Hemorrhagic ascites is usually associated with a poor prognosis. A patient with hemorrhagic ascites having a potentially curable cause, primary splenic lymphoma (histiocytic type), is reported. It is believed that this is a new cause of hemorrhagic ascites that has not been previously described. The causes and pathogenesis of hemorrhagic ascites are reviewed. Computed tomography scan was helpful in suggesting the diagnosis and should be performed early in the evaluation of hemorrhagic ascites.

血性腹水通常预后不良。本文报道了1例血性腹水患者，其病因可能是可治愈的原发性脾淋巴瘤（组织细胞型）。据信这是一种此前未被描述过的血性腹水的新病因。本文对血性腹水的病因和发病机制进行了综述。计算机断层扫描有助于提示诊断，在血性腹水的评估中应尽早进行。