Per operatory finding of spontaneous rupture of the spleen: a case report

Spontaneous rupture of the spleen is an uncommon cause of haemoperitoneum. The diagnosis is difficult especially in premenopausal patient. We report a case of patient operated with an indication of ruptured ectopic pregnancy and whose peroperatory finding was a rupture of the spleen instead at the Centre Hospitalier Dominicain Saint Martin de Porrès, Yaoundé – Cameroon. She was a 28 years old, brought on consultation with acute abdominal pain, without amenorrhoea nor per vaginal bleeding. On physical examination, there was tachycardia and abdominal tenderness. The pregnancy test was negative and the pelvic ultrasound was relevant with a suspected ruptured ectopic pregnancy. We performed a laparotomy. The peroperatory findings were a haemoperitoneum and a linear tear of spleen capsule. We did a splenectomy and the post operatory follow up was unremarkable.