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Updated: Sep 18, 2025
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
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Splenic rupture secondary to diverticulitis: a case report
Muhi Dean Barazi1, Malek Zanbrakji2, Patrick Stone3
1Department of Biosciences, Rice University, 6100 Main Street, Houston, TX 77005, United States.
Journal of Surgical Case Reports
|June 26, 2025
Summary
Atraumatic splenic rupture (ASR) is a rare condition. This case highlights a very rare instance of ASR occurring secondary to complicated diverticulitis, emphasizing the need for clinical awareness.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Atraumatic splenic rupture (ASR) is uncommon, often idiopathic or linked to various medical conditions.
- Diverticulitis, particularly when complicated, is not a commonly recognized cause of ASR.
Observation:
- A 49-year-old female experienced sudden severe abdominal pain post-discharge after non-operative treatment for perforated diverticulitis.
- Imaging revealed a splenic subcapsular hematoma and gas, indicative of splenic rupture without any history of trauma.
Findings:
- The patient underwent exploratory laparotomy, including splenectomy, distal pancreatectomy, and splenic flexure resection.
- Surgical intervention led to a successful recovery.
Implications:
- This case underscores the rare but serious association between complicated diverticulitis and atraumatic splenic rupture.
- Clinicians must consider ASR in patients presenting with abdominal pain, even with a history of diverticulitis.
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