Atraumatic Spontaneous Splenic Rupture: First Presentation of Metastatic Relapse in a Patient of Ovarian Carcinoma

Abstract

Saikalyan Guptha A*, Ravi kumar H, Karthik H S, Manikanta Lgandula and Rambhupal Choudary

Splenic rupture is a potentially life-threatening condition and the majority of cases are secondary to trauma. Atraumatic Splenic Rupture or Spontaneous Splenic rupture is rare and is usually secondary to underlying pathological condition. Splenic rupture secondary to metastasis is very rare. We present a case report of a 53-year-old elderly female who presented to casualty with acute abdominal pain. Abdominal imaging showed splenic rupture with active hemorrhage and hemoperitoneum. She underwent emergency exploratory laparotomy and splenectomy. She made a full recovery. Postoperative period was complicated due moderate COVID-19 infection and was treated with a full course of remdesivir and Karnataka state COVID-19 protocol. Following discharge, she was referred medical oncologist and completed 6 cycles of Paclitaxel and Carboplatin.