DOI: https://doi.org/10.36347/sjmcr.2025.v13i06.025

Pages: 1408-1410

Background: Spontaneous splenic rupture during pregnancy is an extremely rare and life-threatening condition, often diagnosed late due to nonspecific symptoms and absence of trauma. Case Presentation: We report the case of a 36-year-old woman, gravida 5 para 4, admitted at 36 weeks of gestation for acute fetal distress. An emergency cesarean section revealed massive hemoperitoneum. Surgical exploration identified a spontaneous grade 4 splenic rupture. A hemostatic splenectomy was performed with favorable maternal and neonatal outcomes. Conclusion: Although rare, spontaneous splenic rupture should be considered in pregnant women presenting with unexplained hemorrhagic shock. Prompt diagnosis and surgical intervention are critical to improve prognosis.