Spontaneous (atraumatic) splenic rupture

Case contributed by Dr Chris O'Donnell

Presentation

Woke up with sudden severe LUQ pain, no trauma. Recently unwell with "cold"

Patient Data

Age: 20
Gender: Male
Modality: CT

Spleen is minimally enlarged but associated with a large volume perisplenic haematoma (sentinel clot) containing contrast extravasation indicative of active bleeding at the time of the scan, as well as liquid haemoperitoneum around the liver.

Case Discussion

The is a case of spontaneous splenic rupture seen usually in younger people with an underlying viral illness as as CMV or infectious mononucleosis. It can be fatal. The spleens in these cases are often not markedly enlarged but presumably "soft" as a result of the infection allowing for easy rupture.

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Case Information

rID: 30117
Case created: 20th Jul 2014
Last edited: 20th Nov 2015
System: Haematology
Inclusion in quiz mode: Included

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