PMC3655517_01
Rupture of the lower pole of the spleen, partial posterior rupture of the spleen, and intraperitoneal hemorrhage.
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fig1
Since abdomen ultrasound was not considered diagnostic, the patient was submitted to a CT scanning, which confirmed the splenomegaly and the heterogeneity of the spleen and revealed a rupture of the lower pole and a partial posterior rupture, associated with the presence of free fluid throughout the whole peritoneal cavity (Figure 1).
Rupture in the external surface of spleen.
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fig2
CD3+ x100. T-cell zone hyperplasia.
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The rest of the spleen sections were characterized by T-lymphocyte hyperplasia (Figure 3), but there was no success in identifying CMV inclusions by splenic histopathological findings (Figure 4). 
H + E x400. Splenic parenchyma T-cell proliferation.
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fig4
The rest of the spleen sections were characterized by T-lymphocyte hyperplasia (Figure 3), but there was no success in identifying CMV inclusions by splenic histopathological findings (Figure 4). 