“…Atraumatic spontaneous splenic rupture occurs in the setting of abnormal spleen pathology. Causes include congenital hemolytic anemias, infections (mononucleosis, malaria, endocarditis); infiltrative disorders (amyloidosis, Gaucher's disease); lymphoproliferative disorders; medications (anticoagulants, granulocyte colony-stimulating factor, thrombolytics); myeloproliferative disorders; nonhematologic malignancies; pancreatitis; and portal hypertension [7]. Symptoms are left upper quadrant pain, guarding, hemodynamic instability, and left shoulder pain from diaphragmatic irritation.…”