Spontaneous Splenic Rupture in a Diabetic Patient With Klebsiella pneumoniae-Associated Splenic Abscess: A Case Report

Atraumatic splenic rupture (SSR) is rare and usually occurs secondary to trauma. However, infection, particularly with <i>Klebsiella pneumoniae</i> in immunocompromised patients such as those with diabetes mellitus, can lead to splenic abscess, sepsis, and rupture. We report the case of a 52-year-old male with diabetes mellitus and ischemic heart disease who developed sepsis from a left diabetic foot infection. His hospital course was complicated by a splenic abscess caused by <i>K. pneumoniae</i>, resulting in SSR that necessitated urgent splenectomy. The patient also underwent multiple surgical interventions, including below-knee amputation, and was discharged in stable condition. This case highlights the importance of early recognition and prompt management of splenic complications in high-risk patients, which are critical for survival.