The clinical range and management of spontaneous rupture of the pathological malarial spleen (SRPMS): A short case series from Sudan

Eltahir Ahmed Eltahir; Mohamed Ahmed M Ibnouf; Mohammed M A M Ibnouf; Mohamed H Ahmed; Mohammed Haroon Imam; Atif Ahmed

doi:10.1016/j.ijscr.2025.110818

The clinical range and management of spontaneous rupture of the pathological malarial spleen (SRPMS): A short case series from Sudan

Int J Surg Case Rep. 2025 Jan 6:127:110818. doi: 10.1016/j.ijscr.2025.110818. Online ahead of print.

Authors

Eltahir Ahmed Eltahir¹, Mohamed Ahmed M Ibnouf², Mohammed M A M Ibnouf², Mohamed H Ahmed³, Mohammed Haroon Imam⁴, Atif Ahmed²

Affiliations

¹ Surgery University of Elfashir, Darfur, Sudan. Electronic address: [email protected].
² Faculty of Medicine and Health Sciences, Omdurman Islamic University, Sudan.
³ State Ministry of Health, North Darfur State, Sudan.
⁴ Surgery University of Elfashir, Darfur, Sudan.

PMID: 39778495
DOI: 10.1016/j.ijscr.2025.110818

Abstract

Introduction: Spontaneous rupture of the pathological malarial spleen (SRPMS) is a rare condition with a mortality rate among travelers of approximately 38 %, whereas it was around 10 % for local citizens. The mortality rate for overwhelming post-splenectomy sepsis was reported to be about 50 %.

Methods: A retrospective study was conducted from febraury2022 to July 2022. Baseline clinical presentations, management, and outcomes were recorded for analysis.

Results: We present a brief series of eight patients with (SRPMS). Of them, five had successful conservative treatment, while three underwent splenectomy. Only one of them received Pneumococcal vaccine.

Conclusion: SRPMS is a rare complication of malaria infection, it can be managed non-surgically, and splenectomy is necessary for unstable patients. Post-surgery vaccination remains crucial to prevent severe infections.

Keywords: Atraumatic spleen; Malaria; Pneumococcal vaccine; Rupture spleen.