This is an interesting case of spontaneous splenic rupture in a patient with a recent diagnosis of myeloma. There was no history of trauma and no other obvious cause for presentation. Patient had been started on anticoagulation recently and this may have therefore contributed.

The examination was carried out as a single portal venous scan as the clinical history was not particularly suggestive of hemorrhage - this was however sufficient to make the diagnosis.

Patient went for emergency splenectomy, where splenic rupture was confirmed. They recovered well post-operatively.