Non-traumatic splenic rupture in a patient on oral anticoagulation

نویسندگان

  • Marije M de Kubber
  • Lucia JM Kroft
  • Bas de Groot
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Precocious Diagnosis of Traumatic Splenic Rupture by Selective Coeliac Angiography

Splenic arteriography allows the organ to be clearly demonstrated and the condition of the parenchyrna to be assessed. The methode allows traumatic lesions to be easily diagnosed. The most common reliable signs are escape of contrast medium from the torn spenic arteries and lacunar appearance in the parenchyma. Other signs, such as early venous filling or antero-posterior and median displacemen...

متن کامل

Splenic hydatid Cyst with Intra-abdominal Hydatid Cyst-Case Report

Introduction: Hydatid cysts are much less common in the abdomen than in the lungs, and the most common organ involved in the abdomen is the liver, although it is rarely seen in the spleen alone or in multiple organs. The patient was a 25-year-old man who presented with LUQ pain that started one month ago and with a mild non-intermittent nature and it gradually increased. On ultrasound of the pa...

متن کامل

Atraumatic splenic rupture cases presenting with hemorrhagic shock and coagulopathy treated by splenic artery occlusion using a microballoon catheter before splenectomy

Atraumatic splenic rupture (ASR) is an uncommon pathologic condition in which bleeding from the spleen occurs for a variety of nontraumatic reasons. While the current trend in traumatic splenic rupture is nonoperative management including transcatheter arterial embolization, the current recommendation for the treatment of most patients with ASR is splenectomy. In this report, we describe two ca...

متن کامل

Intrahepatic splenosis clinically diagnosed as a Carcinoma: a case report

Splenosis is the autotransplantation of splenic tissue, mostly found in patient with the history of splenic trauma or splenectomy. Intrahepatic splenosis is exceptionally rare. Thus, it is often clinically misdiagnosed as a malignant tumor. Herein, we present a case of intrahepatic splenosis which was clinically misdiagnosed as a hepatocellular carcinoma in a 50-year-old Chinese male. The patie...

متن کامل

Non-operative treatment approach for blunt splenic injury: is grade the unique criterion?

BACKGROUND We aimed to investigate the results of a non-operative approach to blunt spleen injury to re-evaluate the importance of injury grade. METHODS Thirty-one blunt splenic trauma cases subjected to non-operative treatment were evaluated retrospectively. The patients were classified into two groups as isolated spleen trauma (ST) group and multi-trauma (MT) group. The hospitalization and ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2013