{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T15:13:46Z","timestamp":1769094826158,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Atraumatic or spontaneous splenic rupture is a rare but life-threatening emergency. Common causes include hematologic malignancies and infections, but tuberculous involvement of the spleen is exceedingly uncommon. To our knowledge, this represents the third reported case of spontaneous rupture of a tuberculous spleen. We report a 50-year-old human immunodeficiency virus (HIV) -positive woman who presented with cough, fever, and abdominal distension, with abdominal examination suggesting peritoneal irritation and laboratory tests showing severe anemia. Emergency laparotomy revealed a ruptured spleen with 500\u00a0ml of hemolyzed blood, and splenectomy was performed. Histopathology confirmed splenic tuberculosis. The postoperative course was uneventful. Splenic tuberculosis typically occurs in disseminated disease among immunocompromised individuals. Fever of unknown origin is the commonest presentation; spontaneous rupture is exceptionally rare and difficult to diagnose. Although antitubercular therapy is the mainstay of treatment, hemodynamically unstable patients require surgery. Spontaneous splenic rupture should be considered in immunocompromised patients with an acute abdomen, as early recognition is lifesaving.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1103","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:42:28Z","timestamp":1767098548000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous splenic rupture: a sporadic presentation of tuberculosis\u2014a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9137-0717","authenticated-orcid":false,"given":"Zeru A","family":"Sambi","sequence":"first","affiliation":[{"name":"Department of Surgery, Hepatopancreatobiliary Surgery Unit, Hayat Hospital Medical College , Bole Subcity, Mecon, 1534, Addis Ababa ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehari A","family":"Tsegay","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ayder Comprehensive & Specialized Hospital, Mekelle University , Mekelle Romanat Square, 1871, Mekelle ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"2026012010422992400_ref1","first-page":"308","article-title":"Spontaneous rupture of the spleen: an unusual presentation of infectious mononucleosis","volume":"80","author":"Sattianayagam","year":"2001","journal-title":"Ann Hematol"},{"key":"2026012010422992400_ref2","first-page":"195","article-title":"Isolated splenic tuberculosis presenting as splenomegaly: a case report","volume":"5","author":"Moniruddin","year":"2011","journal-title":"J Med Case Reports"},{"key":"2026012010422992400_ref3","doi-asserted-by":"publisher","first-page":"130209","DOI":"10.1155\/2015\/130209","article-title":"Isolated splenic tuberculosis without any radiological focal lesion","volume":"2015","author":"Raviraj","year":"2015","journal-title":"Case Rep Med"},{"key":"2026012010422992400_ref4","first-page":"1","article-title":"Isolated splenic tuberculosis: a rare presentation","volume":"4","author":"Jain","year":"2011","journal-title":"J Trop Med Hyg"},{"key":"2026012010422992400_ref5","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2023 guideline: updating consensus surgical case report (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int J Surg"},{"key":"2026012010422992400_ref6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/1471-227X-12-11","article-title":"613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review","volume":"12","author":"Aubrey-Bassler","year":"2012","journal-title":"BMC Emerg Med"},{"key":"2026012010422992400_ref7","first-page":"1","article-title":"Spontaneous rupture of the normal spleen; a surgical enigma","volume":"106","author":"Orloff","year":"1958","journal-title":"Int Abstr Surg"},{"key":"2026012010422992400_ref8","first-page":"543","article-title":"Causes of splenomegaly in the tropics","volume":"91","author":"Bates","year":"1997","journal-title":"Ann Trop Med Parasitol"},{"key":"2026012010422992400_ref9","doi-asserted-by":"publisher","first-page":"33","DOI":"10.5604\/01.3001.0012.1754","article-title":"Splenic tuberculosis: a comprehensive review of literature","volume":"90","author":"Gupta","year":"2018","journal-title":"Pol Przegl Chir"},{"key":"2026012010422992400_ref10","first-page":"175","article-title":"Spontaneous splenic rupture in infectious mononucleosis: a review","volume":"70","author":"Asgari","year":"1997","journal-title":"Yale J Biol Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1103\/66476454\/rjaf1103.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjaf1103\/66476454\/rjaf1103.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T15:42:37Z","timestamp":1768923757000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1103\/8431555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1103","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,24]]},"article-number":"rjaf1103"}}