Ceroid histiocytosis: An unusual cause of atraumatic splenic rupture

A rare case of atraumatic splenic rupture due: to ceroid histiocytosis is d escribed in a 56-year-old man. During hospitalization, he complained of epi gastric pain, which was not associated with nausea or vomiting. Hematologic indices showed steadily declining hemoglobin, and subsequent radiologic im aging revealed massive splenomegaly. An exploratory laparotomy revealed hem operitoneum associated with a subcapsular splenic rupture. Splenic patholog y showed numerous ceroid-containing histiocytes, We believe this to be the fourth reported case in the English language of atraumatic splenic rupture due to ceroid histiocytosis.