Non-traumatic Splenic Rupture in Dengue-positive Patient: A Case Report

Background: Non-traumatic splenic rupture is a dramatic abdominal emergency that requires immediate diagnosis and surgical treatment for patient survival. We report a case of non-traumatic splenic injury in a 23 years male who presented with fever and tested positive for NS-1 (Dengue).

USG showed increased spleen size right to minimal pleural effusion. Fluid is present in the peri-splenic and pelvic regions.

CECT Abdomen shows mild hepatosplenomegaly increasing non-enhancing areas in the spleen.? Ruptured spleen. Diffuse mesenteric fat stranding with fluid along the mesenteric sleeves of edematous bowel loops. ascites in the pelvis and mesenteric sleeves of bowel loops with increased attenuation/S/O peritonitis.

HPE: Spleen with features of infarction gallbladder chronic acalculous cholecystitis.

Conclusion: Non-traumatic splenic rupture is a rare entity that needs a high index of suspicion for diagnosis in a case of dengue fever.