Related Experiment Video
Updated: Apr 14, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
[Spontaneous, atraumatic rupture of the spleen in a young man]
Olivier A Pluut1, Nicole D Holman, Steffan G J Rödel
1Martini Ziekenhuis, afd. Intensive Care, Groningen.
Background:
A spontaneous, atraumatic splenic rupture is a splenic rupture without a history of trauma. Rupture of this type may occur in a healthy patient but may also be seen in the context of an underlying neoplastic, haematological, infectious or local inflammatory condition.
Case Description:
A 30-year-old man presented to the emergency department with acute pain in the left shoulder, thorax and upper abdomen, accompanied by signs of haemodynamic instability. No history of trauma was reported. Because the clinical symptoms could fit various abdominal and thoracic conditions, he was sent for a CT scan. This revealed a splenic rupture with haemoperitoneum. Emergency laparotomy and splenectomy were performed. Anamnestic, histopathological and other supplementary investigations revealed no indications of underlying pathology so that a diagnosis of "atraumatic idiopathic splenic rupture" was made.
Conclusion:
It is clinically difficult to diagnose a spontaneous, atraumatic rupture of the spleen due to the overlap in presentation with other, more common abdominal and thoracic conditions. A CT scan is essential to detect such a rupture promptly in order to provide appropriate surgical intervention.
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