Table 2.

Reported cases of spontaneous rupture of malarial spleen since 1960

			Long-term resident
	Case		of malaria-endemic	Malarial		Symptoms and	Surgical
Reference	no.	Route	area	stage	Species	signs	therapy	Outcome
[16]	1	Natural	No	Chronic	P malariae	Shock, Kehr's sign	Splenectomy	Lived
						LUQ tenderness
[17]	2	Natural	No	Acute	P vivax	LUQ pain, Kehr's	Splenectomy	Lived
						sign
[18]	3	Natural	No	Acute	P falciparum	No material	No material	Lived
[19]	4	Induced	No	Acute	P vivax	Fever, Kehr's sign	Splenectomy	Lived
						LUQ tenderness
	5	Induced	No	Acute	P vivax	No material	Splenectomy	Lived
	6	Induced	No	Acute	P vivax	No material	Splenectomy	Lived
	7	Induced	No	Acute	P vivax	No material	Splenectomy	Lived
[20]	8	Natural	No	Acute	P falciparum	Kehr' sign	Splenectomy	Lived
						LUQ pain
[21]	9	Natural	No	Acute	P vivax	Fever, back pain	None	Died
						severe shock
[22]	10	Natural	No	Acute	P vivax	Fever, hypotension	None	Lived
						diffuse peritoneal
						signs
[23]	11	Natural	No	Acute	P falciparum	Hypotension, Kehr's	Splenectomy	Lived
						sign, diffuse
						peritoneal signs
[24]	12	Natural	No	Acute	P falciparum	Fever, LUQ pain	Splenectomy	Lived
[25]	13	Natural	Yes	Acute	P vivax	LUQ pain,	Splenectomy	Lived
						palpitations
	14	Natural	Yes	Acute	P vivax	LUQ pain, fever	Splenectomy	Lived
[26]	15	Natural	No	Acute	P malariae	Fever, headache,	None	Lived
						LUQ pain
*	16	Natural	Yes	Acute	P vivax	LUQ pain, fever	Splenectomy	Lived
*	17	Natural	Yes	Acute	P vivax	Fever, palpation,	Splenectomy	Lived
						fainting

LUQ, left upper quadrant. ^*Reported herein.