# A case of spontaneous abdominal hemoperitoneum secondary to ruptured splenosis

## TL;DR

A 35-year-old patient with a history of splenectomy experienced a rare case of spontaneous abdominal bleeding due to ruptured splenosis, successfully treated with surgery.

## Contribution

This case adds to the limited literature on spontaneous hemoperitoneum from splenosis and highlights successful surgical management.

## Key findings

- Computed tomography revealed a large mass in the mesentery with active bleeding and hemoperitoneum.
- Surgical intervention included laparotomy, hematoma evacuation, and resection of two splenules.
- The case demonstrates that surgical management can be effective for ruptured splenosis.

## Abstract

We present a case of spontaneous abdominal hemoperitoneum secondary to ruptured splenosis in a 35-year-old patient with a history of splenectomy secondary to trauma 23 years prior. Computed tomography imaging demonstrated a large amorphous mass-like structure in the mesentery of the left hemiabdomen with active extravasation and hemoperitoneum. The patient also had a separate focus of hyper-enhancing mass adjacent to the bladder representing a mass versus splenule. The patient’s radiographic and clinical presentation prompted management with exploratory laparotomy, hematoma evacuation, and resection of two splenules. With only a few cases of spontaneous abdominal hemoperitoneum from splenosis reported, this case describes successful management with surgical intervention.