We present the case of a drug addict who was admitted with abdominal p
ain but gave no history of trauma. He subsequently left the hospital a
gainst medical advice, only to be readmitted a few days later with per
sistent abdominal pain. He was found to have splenic rupture. This cas
e emphasizes the importance of ruling out intra-abdominal trauma in an
y drug addict presenting with acute abdomen.