The spleen has been known to become so enlarged from hyperemia, or engorgement of blood, that it spontaneously ruptured. Then again the spleen may be ruptured by a blow or fall. Fatal hemorrhage will follow this accident. It is said that fatal hemorrhage has been known to follow puncture of the spleen by a hypodermic needle. Abscess in the spleen has sometimes been punctured, and the intense swelling has caused a rupture to take place at the point of insertion of the needle. Of course, such accidents will prove fatal very quickly. There is but one treatment, and that is to open the abdomen and do whatever is necessary. It is strictly a surgical case.