Spontaneous rupture of the spleen with EMATOMA.

A case of spontaneous rupture of the spleen with hematoma is presented. The spleen presumably with ruptured while the patient was in the hospital, during a severe coughing episode secondary to viral pneumonia. The time interval between splenic rupture and operation was 31 days. Along with pertinent diagnostic acids, difficulty in making the diagnosis is stressed. Knowledge that this condition exists is a major factor in making the diagnosis.