An Unusual Presentation of Splenic Rupture in a Hemodialysis Patient

Splenic rupture, although rare in dialysis patients, can be life-threatening. In this case, a 45-year-old man with kidney failureon hemodialysis experienced sudden and severe abdominal pain in the left flank, without any history of trauma. He displayedsymptoms of hypovolemic shock, characterized by pallor, hypotension, and tachycardia. Additionally, he had abdominaldistension and tenderness. An abdominal CT scan revealed a splenic hematoma and intra-abdominal hemorrhage. Thepatient required a splenectomy to address the ongoing bleeding, but unfortunately, he succumbed to post-splenectomy sepsis2 weeks later.