Splenic rupture following lenograstim in post-autologous stem cell transplantation treated with emergency open splenectomy: a case report and literature review

J Int Med Res. 2022 May;50(5):3000605221095504. doi: 10.1177/03000605221095504.

Abstract

Granulocyte-colony stimulating factors (G-CSFs) are the cornerstone of peripheral blood stem cell mobilization and apheresis. However, splenic rupture following G-CSF treatment represents a serious and potentially fatal adverse event. Here, we report the case of a patient in their late 50s with severe pancytopenia post-autologous stem cell transplantation reinfusion suffering from splenic rupture after treatment with lenograstim. We also reviewed the literature describing cases of splenic rupture during G-CSF administration.

Keywords: Granulocyte-colony stimulating factor; adverse event; autologous stem cell transplantation; lenograstim; pancytopenia; splenic rupture.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Granulocyte Colony-Stimulating Factor / adverse effects
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Hematopoietic Stem Cell Mobilization / adverse effects
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Lenograstim
  • Splenectomy
  • Splenic Rupture* / etiology
  • Splenic Rupture* / surgery
  • Transplantation, Autologous / adverse effects

Substances

  • Granulocyte Colony-Stimulating Factor
  • Lenograstim