Sudden jab ruptured it internally (6)
I believe the answer is:
abrupt
'sudden' is the definition.
(similar in meaning)
'jab ruptured it internally' is the wordplay.
'internally' indicates a hidden word.
'ABRUPT' is hidden in the letters of 'jab ruptured it'.
(Other definitions for abrupt that I've seen before include "Sudden, brusque" , "Unexpected -- precipitous" , "Short, sharp or sudden" , "Sudden, maybe discourteous" , "Hurried or curt" .)