Barazi Muhi Dean, Zanbrakji Malek, Stone Patrick, Tellawi Essam, Chamma Fares, Safra Ahmad
Department of Biosciences, Rice University, 6100 Main Street, Houston, TX 77005, United States.
Department of Biosciences, Georgetown University, 37th and O Streets, Northwest Washington, DC 20057, United States.
J Surg Case Rep. 2025 Jun 25;2025(6):rjaf442. doi: 10.1093/jscr/rjaf442. eCollection 2025 Jun.
Atraumatic splenic rupture (ASR) is a rare condition that may be idiopathic or may occur in the setting of certain inflammatory processes, infections, malignancies, and autoimmune conditions. Here, we report a very rare case of ASR secondary to complicated diverticulitis. A 49-year-old female presented with sudden onset of severe abdominal pain on the day after discharge, following attempted non-operative treatment of perforated diverticulitis at the splenic flexure. She denied any history of trauma. Computed tomography showed new splenic subcapsular hematoma and gas consistent with splenic rupture. Exploratory laparotomy with splenectomy, distal pancreatectomy, splenic flexure resection, and end transverse colostomy was performed, and the patient recovered well. Although it is rare, ASR can be life threatening, and clinicians should be aware of its association with diverticulitis.
非创伤性脾破裂(ASR)是一种罕见的病症,可能是特发性的,也可能发生在某些炎症过程、感染、恶性肿瘤和自身免疫性疾病的背景下。在此,我们报告一例非常罕见的继发于复杂性憩室炎的ASR病例。一名49岁女性在脾曲部穿孔性憩室炎尝试非手术治疗出院后的第二天突然出现严重腹痛。她否认有任何创伤史。计算机断层扫描显示新的脾包膜下血肿和与脾破裂相符的气体。进行了剖腹探查术,包括脾切除术、远端胰腺切除术、脾曲部切除术和末端横结肠造口术,患者恢复良好。尽管ASR罕见,但可能危及生命,临床医生应意识到它与憩室炎的关联。