Spontaneous Splenic Rupture in a Young Male: A Case Report
Muhammad Rusyaidi A, Nurul Hana H, Wei-Honn Lim
Asian Journal of Case Reports in Surgery · pp. 237–240 · Published 13 May 2025
10.9734/ajcrs/2025/v8i1630Abstract
Spontaneous splenic rupture (SSR) is a rare but potentially life-threatening surgical emergency that usually arises in association with underlying splenic pathology, such as infections, hematologic malignancies, or trauma. Here, we report a rare case of spontaneous splenic rupture in a previously healthy 23-year-old male presenting with acute right iliac fossa pain, clinically mimicking perforated appendicitis. Unexpected intraoperative findings of significant hemoperitoneum originating from the splenic hilum necessitated conversion to laparotomy and splenectomy was performed. Histopathology revealed no underlying pathology, classifying this case as idiopathic SSR. This case underscores the need for surgeons to maintain a high index of suspicion and intraoperative adaptability in acute abdominal presentations.
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