Sudden abdominal pain in a patient with pneumonia reveals spontaneous splenic rupture in normal sized spleen

Radiol Case Rep. 2024 Sep 24;19(12):6255-6258. doi: 10.1016/j.radcr.2024.08.128. eCollection 2024 Dec.

Abstract

Splenic rupture is a life-threatening condition that is most frequently of traumatic etiology. Atraumatic or spontaneous splenic rupture is much rarer and less frequently reported. We present a case of an 84-year-old male patient initially hospitalized for pneumonia, who developed sudden abdominal pain and hemodynamic instability. Further investigations revealed a spontaneous splenic rupture. Histopathological examination postsplenectomy identified a splenic hamartoma, which had not been visualized on prior imaging studies.

Keywords: Acute abdominal pain; Case report; Pneumonia; Splenic hamartoma; Spontaneous splenic rupture.

Publication types

  • Case Reports