Introduction

Primary splenic lymphoma is a rare neoplasm of the spleen^1,2. Here we present a case of primary splenic diffuse large B cell lymphoma in a 69 year old male.

Case History

A 69 year old man presented with left side abdominal pain of 6 month duration. On examination spleen palpable 5cm below left costal margin, firm in consistency with rounded margin non tender. Right inguinal lymph node   enlargement 2x1cm.

Peripheral Smear: Neutrophilic leukocytosis

FNAC lymph node shows reactive hyperplasia.

USG: Massive splenomegaly with multiple focal small sized lesions.

CECT: Multiple lesions in spleen with massive splenomegaly suggestive of splenic abscess.

Splenectomy was done. Gross examination show Spleen nodularly enlarged. Cut section shows multiple irregularly gray white nodules.

1. Semra Ayturk et al, Primary Splenic DLBCL after splenectomy: A rare case with literature review, American Journal of Medical Case Reports, 2015, vol3 , No.8,p 265-268
2. Hanumanthappa M.B. et al, Primary Splenic Lymphoma: A rare clinical case report, Journal of Clinical and Diagnostic Research 2011 December , Vol-5(8) p1667-1669
3. Gobbi PG., Pozzetti U,et al. Primary splenic lymphoma ; does it exist? Hematologica 1994;79:286-293
4. Nuala A Conneely J B, Mahon S, O Riardon C, McAnena OJ. Primary splenic lymphoma presenting with ascities. Rare tumors 2011
5. Shao-Min H, Cheih-Lin T,Guan C, Che-An T Primary splenic lymphoma which was associated with haemophagocytic lymphohistiocytosis which was complicated with splenic rupture. J Chin Med Assoc 2008; 71(4):210-213

Swati Jindal

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