BACKGROUND: Laparoscopic surgery has many advantages but is not without com
plications, such as viscus perforation and intraabdominal hemorrhage.
CASE: A rare and severe complication, massive abdominal bleeding due to spl
enic rupture, became symptomatic after an uneventful laparoscopy. Tearing a
way of delicate peritoneal reflections or small adhesions on the splenic ca
psule due to induction of pneumoperitoneum can result in sudden rupture and
hemorrhage.
CONCLUSION: This possibility should be remembered when laparoscopy is neces
sary in patients with a history of blunt abdominal trauma.