1. Abstract Spontaneous splenic rupture is rare. It is usually associated with various pathologies such as infections, neoplasms, haematological pathologies. Patients often present in the emergency room with abdominal pain and hemodynamic instability without mention of trauma, so the differential diagnosis may be difficult. Laboratory investigations and ultrasound study can direct us towards the right diagnosis. CT scan with Contrast media allows rapid identification of all possible lesions. Failure to consider splenic rupture is associated with high patient mortality. We report three cases of atraumatic splenic rupture. This illustrates the importance of performing a differential diagnosis in patients presenting with acute abdominal pain. Despite the timeliness of the atraumatic spleen rupture, especially in patients with underlying pathologies, it remains a condition with high mortality
