Abstract :
Spontaneous rupture of malarial spleen is a rare condition. A physician particularly works in a nonendemic area, may find difficulty to diagnose this condition in such emergency cases. A spontaneous rupture of malarial spleen in a male in non endemic state of Kashmir was described. Even though the presentation looked like intestinal obstruction, abdominal ultrasonography and computed tomography revealed splenic rupture. Because of persistent hypotension, patient underwent an exploratory laparotomy. As a result, the patient was discharged after given pneumococcal vaccine and proper advice.