Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen.

Spontaneous rupture of the spleen, although previously documented, is a rare phenomenon. It commonly occurs in a pathologic spleen, usually owing to hematological manifestation. We describe a rare incident of spontaneous splenic rupture presenting to an emergency department as a first manifestation. The purpose of this case report is to highlight the importance of considering spontaneous rupture of the spleen as a rare but important differential of an acute abdomen.