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- Marije M de Kubber, Lucia Jm Kroft, and Bas de Groot.
- Department of Emergency Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, ZA, the Netherlands. m.m.de_kubber@lumc.nl.
- Int J Emerg Med. 2013 Jan 1; 6 (1): 16.
BackgroundSplenic injury is normally associated with trauma, but spontaneous splenic rupture has been described in various systemic diseases.Case PresentationA 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.ConclusionNon-traumatic splenic rupture is a rare complication of oral anticoagulation.
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