López-Almanza, Perla XimenaPerla XimenaLópez-AlmanzaMartínez-Garza, Pablo A.Pablo A.Martínez-GarzaGonzález-Hermosillo-Cornejo, DanielDanielGonzález-Hermosillo-CornejoMontalvo-Domínguez, Gerardo A.Gerardo A.Montalvo-DomínguezÁlvarez-Hernández, Diego A.Diego A.Álvarez-Hernández2023-10-112023-10-112023https://scripta.up.edu.mx/handle/20.500.12552/494810.24875/CIRU.22000006We present the case of a 75-year-old man with a history of COVID-19 and splenic infarct treated with enoxaparin, who presented with intense abdominal pain and tomographic findings of free peri-splenic fluid and a hyperdense image in the spleen. An emergency laparotomy was performed, with findings of a splenic rupture at the vascular hilum. Spontaneous splenic rupture is a rare and fatal entity that should be suspected in a patient with history of COVID-19 who presents with acute abdominal pain after the administration of heparin.Resource Types::text::journal::journal article