Abstract
Splenic laceration and rupture are common phenomena among patients in a traumatic setting, especially in blunt trauma. Much more unusual, however, is splenic injury without a known insult. Several case reports and studies have been written about spontaneous splenic injury in patients with viral, haematological or malignant processes. Recently, we encountered a patient with a spontaneous splenic rupture and no preceding trauma apart from semielective cardioversion. Operative decision-making was complicated by the fact that he required systemic anticoagulation for atrial fibrillation. He eventually underwent splenectomy and made an uneventful recovery.
Original language | English (US) |
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Article number | e226679 |
Journal | BMJ case reports |
Volume | 12 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1 2019 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Keywords
- arrhythmias
- general surgery
- trauma