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The clinical observation reported in the present article is of special interest for the forensic medical experts taking into consideration the rare occurrence of infarction of the spleen in the medical legal practice. More comprehensive detailed information about such cases is needed for their thorough in-depth investigation and systematization of the differential diagnostic signs and clinical manifestations of the injury (rupture of the spleen) and pathology of the organ (infarction) for the purpose of the more reliable differentiation between these conditions, creation of the relevant diagnostic database, formulation of more conclusive recommendations, and their better substantiation.