Razi Journal of Medical Sciences

    Atraumatic rupture of the spleen is an uncommon but important clinical entity. Unfortunately, the diagnosis is often missed due to the absence of any history of trauma. Atraumatic rupture of the spleen has been described in the medical literature as a clinical oddity with grave consequences, if it is unrecognised and untreated. Clinical features of splenic rupture include pain, tenderness and muscle guarding in the left upper quadrant of the abdomen along with features of haemorrhagic shock. In the absence of a trauma history, other clinical diagnoses are made on presentation and perforated peptic ulcer is the most commonly one. Occasionally, patients may have a variety of clinical features, suggesting angina pectoris, myocardial infarction, pulmonary embolism, ectopic pregnancy, acute appendicitis and acute sigmoid diverticulitis. In this case study an atraumatic rupture of the spleen in pregnant woman is reported with haemorrhagic shock. After stabilization, hemodynamic state splenectomy was performed.