To fall seriously ill, to die, colourful, rough way to describe suddenly getting sick, collapsing from exhaustion, or breaking down physically.
В кабаке после третьей кружки пива неожиданно спиздрячился от апоплексическаго удара Голдберг.
In the pub, after a third beer, Goldberg suddenly collapsed from an apoplectic stroke.
(narod.ru)
