CHRONIC EXPANDING HEMATOMA OF THE SPLEEN CAUSED BY ANGIOMYOLIPOMA IN A PATIENT WITH TUBEROUS SCLEROSIS

We report a case of a chronic expanding hematoma caused by an angiomyo lipoma of the spleen in a patient diagnosed with tuberous sclerosis in infancy. Computed tomography showed large bilateral renal angiomyolip omas. A splenic mass that increased in size during the follow-up perio d of 62 months was also noted. A large subcapsular hematoma of the spl een finally developed, and a splenectomy was performed. The splenic ma ss consisted of a chronic hematoma with prominent granulation tissue, which was considered to be caused by repeated bleeding from a small an giomyolipoma in the spleen.