DOI: 10.36347/sasjm.2023.v09i11.019

Pages: 1227-1229

Spontaneous splenic rupture is a rare yet life-threatening condition often overlooked during the diagnosis of abdominal pain. This case report presents a 61-year-old male who reported to the emergency department with sudden abdominal pain and vomiting, resembling a previous episode experienced a month prior. Despite a lack of significant medical or trauma history, the patient's clinical examination revealed signs of internal bleeding. Imaging studies, including ultrasound and contrast-enhanced CT scan, confirmed an enlarged and disrupted spleen. Hemoglobin levels further supported the diagnosis, along with the retrieval of bloody ascitic fluid during paracentesis. The patient remained clinically stable throughout observation and vigilant monitoring. This case underscores the importance of considering spontaneous splenic rupture in patients presenting with acute abdominal pain, especially when no other plausible cause can be identified and aims to enhance the understanding and management of this rare condition, ultimately aiding in the improved prognosis of future patient.