A case of subcutaneous rupture of the spleen

In recent years, in connection with the malaria epidemic in our country, cases of subcutaneous rupture of the spleen are noticeably more frequent. In the years of famine, rupture of the spleen was also observed in typhoid patients. Overflowing with blood, enlarged in size, the pathologically altered organ often does not withstand insignificant physical stress. Cases of rupture of the malarial spleen during pregnancy, vomiting, during sleep, when turning on its side (the so-called spontaneous rupture of the spleen) are described. However, in most cases, the rupture occurs after one or another injury (bruise, fall). At the same time, the thin capsule of the spleen ruptures easily, and severe, often fatal, internal bleeding occurs. Mortality without surgery is huge (90-95%). Sometimes bleeding into the free abdominal cavity does not occur immediately after the injury, but several hours or even days later (secondary bleeding).