Spontaneous splenic rupture

Dr Ammar Haouimi and Dr Henry Knipe et al.

Spontaneous splenic rupture (SSR) (or atraumatic splenic rupture) is rare, especially when compared to traumatic splenic rupture

Pathology

The pathogenesis of atraumatic splenic rupture is not well understood. Splenomegaly is present in almost all patients (~95%), although rupture of normal spleens (both in size and underlying histology) has been reported 3

Etiology

There is a wide range of underlying causes 1,2:

Radiographic features

Features are similar to splenic trauma with hemoperitoneum and perisplenic hematoma. The spleen is more likely to be enlarged in atraumatic ruptures 3.

Share article

Article information

rID: 43036
Section: Gamuts
Synonyms or Alternate Spellings:
  • Spontaneous splenic rupture (SSR)
  • Atraumatic splenic rupture (ASR)
  • Non-traumatic splenic rupture
  • Idiopathic splenic rupture

Support Radiopaedia and see fewer ads

Cases and figures

  • Figure 1: with hemangioma
    Drag here to reorder.
  • Case 2
    Drag here to reorder.
  • Case 3: in dialysis patient
    Drag here to reorder.
  • Case 4
    Drag here to reorder.
  • Case 5: spontaneous
    Drag here to reorder.
  • Case 6: post colonoscopy - splenocolic ligament avulsion
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.