Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient
Abstract
:1. Introduction
2. Case Presentation
3. Discussion
Author Contributions
Funding
Conflicts of Interest
References
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Variables | Normal Range | Patient Data | Variables | Normal Range | Patient Data |
---|---|---|---|---|---|
White blood cells (WBC) | 3.5–11 (×109/L) | 102.04 | Blood urine nitrogen | 7–18 mg/dL | 21 |
Segment form neutrophils | 45–70% | 6.0 | Creatinine | 0.55–1.02 mg/dL | 1.3 |
Lymphocytes | 25–40% | 3.0 | Sodium | 136–145 mmol/L | 140 |
Eosinophils | 1–3% | 0.0 | Potassium | 3.5–5.1 mmol/L | 4.3 |
Monocytes | 2–8% | 1.0 | Calcium | 2.12–2.52 mmol/L | 1.91 |
Nuclear red blood cells | 0/100WBC | 1.0 | Glucose | 70–100 mg/dL | 145 |
Blast cell | 0% | 88.0 | Alanine aminotransferase | 16–63 U/L | 51 |
Hemoglobin | 12–16 g/dL | 9.4 | Lipase | 73–393 IU/L | 206 |
Platelet counts | 150–400 (×109/L) | 32 | Creatine kinase | 26–192 IU/L | 184 |
Prothrombin time | 8.0–12.0 s | 12.7 | C-reactive protein (CRP) | 0–0.33 mg/dL | 0.66 |
Partial thromboplastin time | 23.9–35.5 s | 30.6 | |||
Lactic dehydrogenase (LDH) | 85–227 IU/L | 894 |
Variables | Normal Range | Day 0 | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | Day 8 | Day 9 | Day 11 | Day 12 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WBC | 3.5–11 (× 109/L) | 102.04 | 22.82 | 5.69 | 3.9 | 2.87 | 2.01 | 1.92 | 2.03 | 2.39 | 1.64 | 0.99 | 1.34 |
RBC | 4.5–5.9 (× 106/uL) | 3.43 | 3.13 | 2.84 | 2.86 | 2.84 | 3.42 | 3.37 | 3.55 | 3.85 | 3.8 | 3.54 | 3.61 |
Hb | 12–16 g/dL | 9.4 | 8.7 | 8.1 | 8.4 | 8.1 | 9.7 | 9.7 | 10.1 | 11.3 | 11 | 10.2 | 10.2 |
PL | 150–400 (× 109/L) | 32 | 85 | 90 | 53 | 68 | 43 | 29 | 70 | 42 | 42 | 85 | 84 |
N. band | 0–3% | 0 | 5 | 3 | 6 | 7 | 0 | 5 | 0 | 1 | 0 | 1 | 3 |
N. seg. | 40–75% | 6 | 6 | 16 | 24 | 24 | 52 | 46 | 58.1 | 56 | 59 | 52 | 40 |
Lym. | 20–45% | 3 | 37 | 55 | 34 | 38 | 35 | 41 | 34 | 37 | 38 | 39 | 50 |
Mono. | 2–10% | 1 | 1 | 2 | 3 | 1 | 2 | 1 | 3 | 2 | 2 | 3 | 3 |
Eosin. | 1–6% | 0 | 0 | 3 | 0 | 0 | 0 | 1 | 4.9 | 0 | 1 | 3 | 4 |
Baso. | 0–1% | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Blast | 0–0% | 88 | 48 | 18 | 26 | 24 | 9 | 2 | 0 | 1 | 0 | 0 | 0 |
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Wu, M.-Y.; Kao, W.-Y.; Chan, C.-Y.; Yiang, G.-T.; Liao, W.-T.; Chen, C.-S. Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient. Diagnostics 2019, 9, 152. https://doi.org/10.3390/diagnostics9040152
Wu M-Y, Kao W-Y, Chan C-Y, Yiang G-T, Liao W-T, Chen C-S. Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient. Diagnostics. 2019; 9(4):152. https://doi.org/10.3390/diagnostics9040152
Chicago/Turabian StyleWu, Meng-Yu, Woei-Yau Kao, Cheng-Yi Chan, Giou-Teng Yiang, Wan-Ting Liao, and Chien-Sheng Chen. 2019. "Spontaneous Splenic Rupture as a Rare Initial Presentation in an Acute Lymphoblastic Leukemia Patient" Diagnostics 9, no. 4: 152. https://doi.org/10.3390/diagnostics9040152