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We present the case of a 31-year-old man admitted with acute abdominal pain who was subsequently found to have a ruptured spleen. A splenectomy was performed as an emergency and he was discharged from hospital 4 days later. Histological analysis revealed isolated splenic peliosis as the underlying condition predisposing to his splenic rupture.

'Not just another appendicitis!' – a case report of acute abdominal pain caused by splenic rupture secondary to isolated splenic peliosis