IntroducereRuptura spontana a splinei malarice (Plasmodium Falciparum) este o complicatie rara fiind frecvent asociata cu malaria cauzata de Plasmodium Vivax. Material si metodeLucrarea prezinta cazul unui pacient de 30 de ani internat de urgenta prin transfer de la Spitalul Clinic de Boli Infectioase cu diagnosticul ruptura spontana de splina patologica (malarica), hemoperitoneu mare tratat nonoperator (angioembolizare splenica proximala).RezultateEvolutie favorabila cu recuperare completa.Concluzii Ruptura splinei malarice poate fi tratata nonoperator cu succes iar prezervarea acesteia trebuie sa fie obiectivul tratamentului.Pentru stabilirea precoce a diagnosticului este necesar un indice ridicat de suspiciune pentru evitarea unor consecinte catastrofale.Cuvinte cheie: malaria, ruptura spontana splenica, tratament nonoperator, angioembolizare.

Introduction Spontaneous rupture of malarial spleen due to Plasmodium Falciparum is uncommon. It is most frequently associated with Plasmodium Vivax malaria. Material and methodsWe report the case of a 30-years old male transferred to our hospital from Clinical Hospital of Infectious and Tropical Diseases. He was admitted with the diagnosis of spontaneous splenic rupture and large haemoperitoneum. Because the hemodynamic stability we decided a nonoperative management and performed a proximal splenic angioembolization.ResultsThe evolution was uneventful and the patient was discharged on day 14th.ConcluziiRupture of the pathologic spleen do heal and attempt at splenic salvage should be the aim in management. A high index of suspicion of splenic rupture is imperative because delay in diagnosis may lead to catastrophic consequences.Keywords: malaria, spontaneous splenic rupture, nonoperative management, angioembolization.