Spontaneous Splenic Rupture in a Young Male: A Case Report
Muhammad Rusyaidi A *
Department of General Surgery, Hospital Pakar Sultanah Fatimah Muar, Johor, Malaysia.
Nurul Hana H
Department of General Surgery, Hospital Pakar Sultanah Fatimah Muar, Johor, Malaysia.
Wei-Honn Lim
Department of General Surgery, Hospital Pakar Sultanah Fatimah Muar, Johor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Spontaneous splenic rupture (SSR) is a rare but potentially life-threatening surgical emergency that usually arises in association with underlying splenic pathology, such as infections, hematologic malignancies, or trauma. Here, we report a rare case of spontaneous splenic rupture in a previously healthy 23-year-old male presenting with acute right iliac fossa pain, clinically mimicking perforated appendicitis. Unexpected intraoperative findings of significant hemoperitoneum originating from the splenic hilum necessitated conversion to laparotomy and splenectomy was performed. Histopathology revealed no underlying pathology, classifying this case as idiopathic SSR. This case underscores the need for surgeons to maintain a high index of suspicion and intraoperative adaptability in acute abdominal presentations.
Keywords: Spontaneous splenic rupture, hemoperitoneum, splenectomy, appendicitis, laparoscopy, acute abdomen