When Minor Trauma Leads to Major Surgery: Splenic Cyst Rupture Requiring Emergency Splenectomy After Failed Conservative Management in a 15-Year-Old Boy

Introduction : splenic cysts are uncommon in pediatric patients and mostly asymptomatic and incidentally discovered but may present with abdominal discomfort. Large cyst may rupture after minor trauma leading to life-threatening hemorrhage. Splenic preserving measuring is the main goal of management for pediatrics, however life-saving splenectomy is crucial in critical conditions. Case presentation : We have reported a case of 15-years-old who experienced trivial abdominal trauma leading to hemoperitoneum due to rupture splenic cyst confirmed with contrast-enhanced CT abdomen and pelvis. After resuscitation and failure of conservative management, splenectomy was performed uneventually and patient was discharge in a stable condition. This case highlights the diagnostic and management challenges associated with splenic cyst rupture in an adolescent patient.