Spontaneous rupture of normal spleen: A diagnostic dilemma


Sunder Goyal, Mohm Mojeeb Ahsan, Snigdha Goyal

Spontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success.