HighlightsBlunt abdominal trauma is the most common cause of splenic rupture.It should be kept in mind in patients presenting with clinical picture of splenic rupture and no history of trauma.It should also be kept in mind in patients, exposed to malaria, presenting with clinical picture of splenic rupture.Conservative treatment can be an option in stable patients while splenectomy remains the treatment of choice in patients with a hemoperitoneum and persistent instability.
Gastric perforation should be suspected in any patient with IGB who presents with an acute abdomen. This can be managed with a minimal invasive approach.
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