Spontaneous Rupture of the Spleen: A Case Report

Abstract

This article discusses the complexities of diagnosing and treating splenic rupture, a potentially fatal condition typically associated with trauma, but also linked to a myriad of other pathologies. We detail a case study of a 61-year-old patient, presenting with spontaneous splenic rupture, diagnosed through various clinical examinations, blood tests, and imaging studies. A comprehensive discussion follows, shedding light on the different causes of non-traumatic splenic rupture, diagnostic challenges, and the significance of CT scan in confirming the diagnosis and grading the severity of the injury. This article further highlights the criteria established by Orloff and Peskin, as well as Crate and Payne, for diagnosing spontaneous splenic rupture. We conclude by emphasizing the need for heightened clinical suspicion in diagnosing spontaneous splenic rupture, the critical role of abdominal CT scan in such cases, and the necessity of considering laparotomy for patients with high-grade injuries who do not respond to resuscitation.