PMC6393918_01
Thoracic -abdominal CT with contrast medium which confirmed the presence of adenopathy in the mediastinal space.
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Port vein ectasia (24 mm) and splenic vein ectasia (25 mm) were highlighted (Figure 1).
Patient's spleen after splenectomy.
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As it was not an emergency surgery, in order to prevent any infectious surgical complication, IgG levels were maintained over 700 mg/dl for 2 months before splenectomy (Figure 2).
Histopathological analysis showed a diffuse plurifocal nodular white pulp hyperplasia characterized by an admixture of lymphocytes and aggregates of macrophages (H&E, 100x), follicular lymphoid hyperplasia (H&E, 100x) and pseudonodular necrotic area surrounded by prominent haemorrhagic parenchyma (H&E, 100x).
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