Evidence map›Paper›PMID 41868698›Full record

ArticleJournal of surgical case reports2026

Spontaneous rupture of a normal spleen successfully treated with elective laparoscopic splenectomy: a case report.

Ryoma Sakamoto, Yuto Kawate, Kazuki Sekine, Ken Hayashi, Akinari Miyazaki

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ryoma SakamotoDepartment of Gastrointestinal Surgery, Kameda Medical Center, 929, Higashimachi, Kamogawa City, Chiba 2960041, Japan.ORCID https://orcid.org/0009-0006-8316-5434
Yuto KawateDepartment of Pediatric Surgery and Transplantation, Kumamoto University Hospital, 1-1-1 Honjo, Chuo Ward, Kumamoto City, Kumamoto 8608556, Japan.
Kazuki SekineDepartment of Hepatobiliary Pancreatic Surgery, Juntendo University Hospital, 2-1-1 Hongo, Bunkyo-ku, Tokyo 1138421, Japan.
Ken HayashiDepartment of Gastrointestinal Surgery, Kameda Medical Center, 929, Higashimachi, Kamogawa City, Chiba 2960041, Japan.
Akinari MiyazakiDepartment of Gastrointestinal Surgery, Kameda Medical Center, 929, Higashimachi, Kamogawa City, Chiba 2960041, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous splenic rupture is a rare but potentially life-threatening condition. Although commonly associated with infections or malignancies, rupture of a normal spleen is extremely rare, and emergency surgery remains the usual management approach. We report a case of spontaneous rupture of a normal spleen successfully treated with elective laparoscopic splenectomy. A 47-year-old man presented with sudden-onset left upper-quadrant abdominal pain and dizziness. Imaging studies revealed splenic rupture without any evidence of trauma or underlying conditions. After initial non-operative management, laparoscopic splenectomy was performed due to the risk of rebleeding. Pathological examination of the excised spleen revealed no underlying cause, and the patient was diagnosed with spontaneous rupture of a normal spleen. A PubMed-based literature review identified only a few comparable cases over the past 5 years, most treated with emergency surgery. Our case indicates that non-operative management followed by elective surgery may be feasible in selected cases.

Indexed as

laparoscopic splenectomynon-operative managementspleenspontaneous rupture

Identifiers

PMID41868698
PMCPMC13005668

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.