{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:05Z","timestamp":1753877225044,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Atraumatic splenic rupture (ASR) is a rare condition that may be idiopathic or may occur in the setting of certain inflammatory processes, infections, malignancies, and autoimmune conditions. Here, we report a very rare case of ASR secondary to complicated diverticulitis. A 49-year-old female presented with sudden onset of severe abdominal pain on the day after discharge, following attempted non-operative treatment of perforated diverticulitis at the splenic flexure. She denied any history of trauma. Computed tomography showed new splenic subcapsular hematoma and gas consistent with splenic rupture. Exploratory laparotomy with splenectomy, distal pancreatectomy, splenic flexure resection, and end transverse colostomy was performed, and the patient recovered well. Although it is rare, ASR can be life threatening, and clinicians should be aware of its association with diverticulitis.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf442","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T08:47:04Z","timestamp":1750841224000},"source":"Crossref","is-referenced-by-count":0,"title":["Splenic rupture secondary to diverticulitis: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7605-7715","authenticated-orcid":false,"given":"Muhi Dean","family":"Barazi","sequence":"first","affiliation":[{"name":"Department of Biosciences , Rice University, 6100 Main Street, Houston, TX 77005,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malek","family":"Zanbrakji","sequence":"additional","affiliation":[{"name":"Department of Biosciences , Georgetown University, 37th and O Streets, Northwest Washington, DC 20057,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery , Vanderbilt University School of Medicine, 1161 21st Avenue South, Nashville, TN 37232,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Essam","family":"Tellawi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology , University of Michigan Health-Sparrow, 1200 East Michigan Avenue, Suite 715, Lansing, MI 48912,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fares","family":"Chamma","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Research , Indiana University School of Medicine, 1801 N Senate Avenue, Indianapolis, IN 46202,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Safra","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery , INOVA Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"2025062504465983800_ref1","doi-asserted-by":"publisher","first-page":"5827694","DOI":"10.1155\/2019\/5827694","article-title":"Diagnosis and treatment of atraumatic splenic rupture: experience of 8 cases","volume":"2019","author":"Liu","year":"2019","journal-title":"Gastroenterol Res Pract"},{"key":"2025062504465983800_ref2","doi-asserted-by":"publisher","first-page":"110179","DOI":"10.1016\/j.ijscr.2024.110179","article-title":"Spontaneous rupture of a normal spleen: a case report and a review of the literature emphasizing diagnostic and surgical 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