{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:03Z","timestamp":1753877223009,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:00:00Z","timestamp":1712793600000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spontaneous\/atraumatic splenic rupture is rare, and often associated with underlying infectious disease, or haematological malignancy. Plasma cell leukaemia (PCL) is a rare and aggressive subtype of multiple myeloma, with a higher prevalence of hepatosplenomegaly with a bleeding diathesis from secondary to thrombocytopaenia. We report the case of an 82-year-old male presenting to the emergency department with altered mentation and complaints of left abdominal pain. He presented with haemorrhagic shock. Imaging revealed a spontaneous splenic rupture. He underwent emergency laparotomy and splenectomy for which the histopathology yielded a diagnosis of PCL as the cause for rupture. He received four courses of bortezomib and hyperCVAD 1A therapy. After a long 64-day admission, he recovered well and was discharged home with outpatient haematology\/oncology follow-up.<\/jats:p>","DOI":"10.1093\/jscr\/rjae223","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T08:31:37Z","timestamp":1712824297000},"source":"Crossref","is-referenced-by-count":0,"title":["A rare presentation of spontaneous splenic rupture from plasma cell leukaemia\u2014a case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Hershil","family":"Khatri","sequence":"first","affiliation":[{"name":"Ipswich Hospital Department of General Surgery, , Ipswich, QLD 4305, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nakhyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Rockhampton Hospital Department of General Surgery, , Rockhampton, QLD 4700, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzu-Yi (Arron)","family":"Chuang","sequence":"additional","affiliation":[{"name":"Rockhampton Hospital Department of General Surgery, , Rockhampton, QLD 4700, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lamparelli","sequence":"additional","affiliation":[{"name":"Rockhampton Hospital Department of General Surgery, , Rockhampton, QLD 4700, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"key":"2024041108104561100_ref1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.3324\/haematol.2009.021618","article-title":"Plasma cell leukemia","volume":"95","author":"Gertz","year":"2010","journal-title":"Haematologica"},{"key":"2024041108104561100_ref2","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/00003072-198509000-00009","article-title":"Spontaneous rupture of the spleen in primary plasma cell leukemia. 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