The clinical range and management of spontaneous rupture of the pathological malarial spleen (SRPMS): A short case series from Sudan.

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Spontaneous rupture of the pathological malarial spleen (SRPMS) is a rare condition with a mortality rate among travelers of approximately 38%, whereas it was around 10 % for local citizens. The mortality rate for overwhelming post-splenectomy sepsis was reported to be about 50 %. A retrospective study was conducted from febraury2022 to July 2022. Baseline clinical presentations, management, and outcomes were recorded for analysis. We present a brief series of eight patients with (SRPMS). Of them, five had successful conservative treatment, while three underwent splenectomy. Only one of them received Pneumococcal vaccine. SRPMS is a rare complication of malaria infection, it can be managed non-surgically, and splenectomy is necessary for unstable patients. Post-surgery vaccination remains crucial to prevent severe infections.