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Int J Emerg Med. 2013 May 21;6(1):16. doi: 10.1186/1865-1380-6-16.

Non-traumatic splenic rupture in a patient on oral anticoagulation.

Author information

1
Department of Emergency Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, ZA, the Netherlands. m.m.de_kubber@lumc.nl.

Abstract

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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