Non-traumatic splenic rupture in a patient on oral anticoagulation

BACKGROUND: Splenic injury is normally associated with trauma, but spontaneous splenic rupture has been described in various systemic diseases. CASE PRESENTATION: A 56-year-old male on oral anticoagulation presented to the emergency department with epigastric pain, nausea, and left upper quadrant te...

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Detalles Bibliográficos
Autores principales: de Kubber, Marije M, Kroft, Lucia JM, de Groot, Bas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2013
Materias:
Brief Research Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685544/
https://www.ncbi.nlm.nih.gov/pubmed/23694768
http://dx.doi.org/10.1186/1865-1380-6-16
Descripción
Sumario:BACKGROUND: Splenic injury is normally associated with trauma, but spontaneous splenic rupture has been described in various systemic diseases. CASE PRESENTATION: A 56-year-old male on oral anticoagulation presented to the emergency department with epigastric pain, nausea, and left upper quadrant tenderness. There was no history of trauma. Contrast-enhanced CT imaging revealed a large subcapsular haematoma of the spleen. Oral anticoagulation was antagonised with vitamin K and the patient was discharged in good condition after 3 days of clinical observation. CONCLUSION: Non-traumatic splenic rupture is a rare complication of oral anticoagulation.

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