Illustrative CasesAdolescent With Spontaneous Splenic Rupture as a Cause of Hemoperitoneum in the Emergency Department Case Report and Literature ReviewGómez-Ramos, José Juan MD∗; Marín-Medina, Alejandro MD, PhD†; Lisjuan-Bracamontes, Javier MD∗; García-Ramírez, Diana MD‡; Gust-Parra, Heriberto MD§; Ascencio-Rodríguez, Maria Guadalupe MD∥Author Information From the ∗Department of Emergency Medicine, Hospital General de Zona No. 89 †Genetics Division, Centro de Investigaciones Biomédicas de Occidente, IMSS/CUCS, Universidad de Guadalajara Departments of ‡Radiology §General Surgery ∥Pathology, Hospital General de Zona No. 89, IMSS, Guadalajara, Jalisco, Mexico. Disclosure: The authors declare no conflict of interest. Reprints: Alejandro Marín-Medina, Sierra Mojada # 800. Colonia Independencia, Sector Libertad Guadalajara, Jalisco, Mexico (e-mail: [email protected]). Pediatric Emergency Care: December 2020 - Volume 36 - Issue 12 - p e737-e741 doi: 10.1097/PEC.0000000000001520 Buy Metrics Abstract Spontaneous rupture of the spleen is a rare clinical condition that usually presents as a complication of a background pathology and can become a life-threatening condition if it is not diagnosed in time. We present the case of a 15-year-old girl with abdominal pain and clinical data of hypovolemic shock. The simple tomographic study revealed deformation of the splenic architecture and hemoperitoneum. Surgery demonstrated splenic rupture with ptosis spleen and intraperitoneal free blood. The anatomopathological examination showed the presence of splenomegaly and findings suggestive of peliosis. It also highlights the known causes related to spontaneous splenic rupture. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.