Atraumatic rupture of the spleen is an uncommon but important clinical entity. The diagnosis is often missed due to the absence of any history of trauma. Various aspects of atraumatic rupture of the spleen including those of pathologic and spontaneous rupture have been reviewed. Primary angiosarcoma of the spleen is a very rare neoplasm with disastrous prognosis. Increased awareness of this condition would enhance early diagnosis and effective treatment.
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