[Massive hemoperitoneum caused by rupture of the spleen, a complication of congenital afibrinogenemia. Conservative treatment].

An hemorrhagic shock caused by spontaneous spleen rupture in a 14 year old child with a congenital afibrinogenemia is reported. A conservative treatment was carried out with perfusions of whole blood and fibrinogen and with regular echographic examinations and a splenectomy was avoided.