Spontaneous splenic rupture in a healthy individual is a rare phenomenon. This article reports on a patient with an uneventful medical history, presenting with atraumatic splenic rupture. Three family members of the patients experienced the same in the past.

loss of patency was inadequate imaging of the biliary tree prior to initial repair (p=0. 034, OR 10.200,. Primary patency was achieved in 86.5% of patients and secondary patency was obtained in 90% at 10 years. There were no statistically significant differences in short-or long-term outcome between the two groups. Conclusions: Incomplete diagnosis of BDI prior to initial repair was independently associated with loss of patency requiring revision surgery. Patients referred to a specialized center for revision surgery have similar outcomes as patients undergoing index repair at the same center.Multivariate logistic regression model using 131 patients from a single tertiary referral center who required surgical repair of a major BDI