Atraumatic splenic rupture and ileal volvulus following cocaine abuse

David H. Ballard, J. Patrick Smith, Navdeep S. Samra

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1 Scopus citations


We present the case of a 38-year-old male with an atraumatic splenic rupture, hemoperitoneum, and ileal volvulus following acute cocaine intoxication. Computed tomography showed a "whirl sign", a subcapsular splenic hematoma with suspected peripheral laceration, and diffuse hemoperitoneum. At laparotomy, the spleen was confirmed to be the source of bleeding and was removed. A nonreducible volvulus was found at the distal ileum, and this segment of small bowel was removed. The patient had an uneventful postoperative recovery.

Original languageEnglish
Pages (from-to)1112-1114
Number of pages3
JournalClinical Imaging
Issue number6
StatePublished - Nov 2015


  • Atraumatic splenic rupture
  • Cocaine toxicity
  • Cocaine-related splenic injury
  • Small bowel volvulus
  • Whirl sign


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