Spontaneous (atraumatic) splenic rupture

Case contributed by Dr Chris O'Donnell


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

Patient Data

Age: 20
Gender: Male

Spleen is minimally enlarged but associated with a large volume perisplenic hematoma (sentinel clot) containing contrast extravasation indicative of active bleeding at the time of the scan, as well as liquid hemoperitoneum 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
Published: 20th Jul 2014
Last edited: 5th Feb 2020
System: Haematology
Inclusion in quiz mode: Included

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