{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T17:02:58Z","timestamp":1774112578489,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:00:00Z","timestamp":1774051200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spontaneous splenic rupture is a rare but potentially life-threatening condition. Although commonly associated with infections or malignancies, rupture of a normal spleen is extremely rare, and emergency surgery remains the usual management approach. We report a case of spontaneous rupture of a normal spleen successfully treated with elective laparoscopic splenectomy. A 47-year-old man presented with sudden-onset left upper-quadrant abdominal pain and dizziness. Imaging studies revealed splenic rupture without any evidence of trauma or underlying conditions. After initial non-operative management, laparoscopic splenectomy was performed due to the risk of rebleeding. Pathological examination of the excised spleen revealed no underlying cause, and the patient was diagnosed with spontaneous rupture of a normal spleen. A PubMed-based literature review identified only a few comparable cases over the past 5 years, most treated with emergency surgery. Our case indicates that non-operative management followed by elective surgery may be feasible in selected cases.<\/jats:p>","DOI":"10.1093\/jscr\/rjag178","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T16:33:56Z","timestamp":1774110836000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous rupture of a normal spleen successfully treated with elective laparoscopic splenectomy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8316-5434","authenticated-orcid":false,"given":"Ryoma","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Kameda Medical Center , 929, Higashimachi, Kamogawa City, Chiba 2960041 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuto","family":"Kawate","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Transplantation, Kumamoto University Hospital , 1-1-1 Honjo, Chuo Ward, Kumamoto City, Kumamoto 8608556 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Sekine","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery, Juntendo University Hospital , 2-1-1 Hongo, Bunkyo-ku, Tokyo 1138421 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Kameda Medical Center , 929, Higashimachi, Kamogawa City, Chiba 2960041 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinari","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Kameda Medical Center , 929, Higashimachi, Kamogawa City, Chiba 2960041 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,21]]},"reference":[{"key":"2026032112335452200_ref1","first-page":"403","article-title":"Death from idiopathic rupture of the normal spleen","volume":"2","author":"Atkinson","year":"1874","journal-title":"BMJ"},{"key":"2026032112335452200_ref2","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":"2026032112335452200_ref3","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1136\/jramc-137-01-12","article-title":"Is the diagnosis of spontaneous rupture of a normal spleen valid?","volume":"137","author":"Crate","year":"1991","journal-title":"J R Army Med Corps"},{"key":"2026032112335452200_ref4","doi-asserted-by":"crossref","first-page":"94","DOI":"10.21037\/acr-24-64","article-title":"Atraumatic splenic rupture: a case report","volume":"8","author":"Santarelli","year":"2024","journal-title":"AME Case Rep"},{"key":"2026032112335452200_ref5","doi-asserted-by":"crossref","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 challenges","volume":"123","author":"Ben Ismail","year":"2024","journal-title":"Int J Surg Case Rep"},{"key":"2026032112335452200_ref6","doi-asserted-by":"publisher","first-page":"e60105","DOI":"10.7759\/cureus.60105","article-title":"Spontaneous splenic rupture in a young patient: a comprehensive case report and literature review","volume":"16","author":"Alyaseen","year":"2024","journal-title":"Cureus"},{"key":"2026032112335452200_ref7","doi-asserted-by":"publisher","first-page":"e45364","DOI":"10.7759\/cureus.45364","article-title":"Atraumatic spontaneous splenic rupture with unknown etiology","volume":"15","author":"Perez","year":"2023","journal-title":"Cureus"},{"key":"2026032112335452200_ref8","first-page":"36","article-title":"Spontaneous splenic rupture: case report and review of literature","volume":"37","author":"Ahbala","year":"2020","journal-title":"Pan Afr Med J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag178\/67461516\/rjag178.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/3\/rjag178\/67461516\/rjag178.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T16:33:58Z","timestamp":1774110838000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag178\/8534439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag178","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,3]]},"published":{"date-parts":[[2026,3]]},"article-number":"rjag178"}}