Volume 2002, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426


Spontaneous rupture of the spleen is a rare complication of Plasmodium vivax malaria which may be under diagnosed. Recently we encountered such a case in an expatriate a few days after arriving from his country. The presentation was of fever; abdominal pain and vomiting. Computed tomographic scan and ultrasound were not helpful in making an initial diagnosis but the development of hypotension and a significant drop in hemoglobin later pointed to the diagnosis. The rupture was sufficiently severe to necessitate splenectomy. The case is described, treatment options are discussed and pertinent literature is reviewed.


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  1. World Health Organization Action Programme. Severe and complicated malaria. Trans R Soc Trop Med Hyg. 1986; 80:suppl:150.
    [Google Scholar]
  2. Zingman BS, Viner BL. Splenic rupture in malaria: Case Report and Review. Clin Infect Dis. 1993; 16::223232.
    [Google Scholar]
  3. Hershey FB, Lubitz JM. Spontaneous rupture of the spleen: Case Report and Analysis of 64 Cases. Ann Surg. 1948; 127::4057.
    [Google Scholar]
  4. Gibney EJ. Surgical aspects of malaria. Br J Surg. 1990; 77::964967.
    [Google Scholar]
  5. Wyler DJ. Plasmodium species (malaria). In: Mandell GLDouglas RG JrBennett JE, eds. Principles and practice of infectious diseases. 3rd ed. New York: Churchill Livingstone 1990;:20562066.
    [Google Scholar]
  6. Smith EB, Custer RP. Rupture of the spleen in infectious mononucleosis: a clinical pathologic report of seven cases. Blood. 1946; 1::317333.
    [Google Scholar]
  7. Covell G. Spontaneous rupture of spleen. Trop Dis Bull. 1955; 52::705723.
    [Google Scholar]
  8. Facer CA, Rouse D. Spontaneous rupture of spleen due to Plasmodium ovale malaria (Letter). Lancet. 1991; 338::896.
    [Google Scholar]
  9. Clezy JKA, Richens JE. Non-operative management of spontaneously ruptured malarial spleen. Br J Surg. 1985; 72::990.
    [Google Scholar]
  10. Hunter RA, Kiroff GK, Jamie son GG. The injured spleen: should consideration he given to conservative management? AustNZJ Surg. 1984; 54::129135.
    [Google Scholar]
  11. Garnham PCC. The role of the spleen in protozoal infections with special reference to splenectomy. Acta Trop. 1970; 27::114.
    [Google Scholar]
  12. Hamilton DR, Pikacha D. Ruptured spleen in a malarious area: with emphasis on conservative management in both adults and children. Aust NZJ Surg. 1982; 52::310313.
    [Google Scholar]
  • Article Type: Case Report
Keyword(s): MalariaSplenic rupture and Spontaneous
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