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Year 2020, Volume: 4 Issue: 3, 391 - 393, 01.09.2020
https://doi.org/10.30621/jbachs.2020.1050

Abstract

References

  • 1. Lowry LE, Goldner JA. Spontaneous splenic rupture associated with apixaban: A case report. J Med Case Rep 2016;10:217. [CrossRef]
  • 2. Aubrey-Bassler FK, Sowers N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med 2012;12:11. [CrossRef]
  • 3. Kapan M, Kapan S, Karabicak I, Bavunoglu I. Simultaneous rupture of the liver and spleen in a patient on warfarin therapy: report of a case. Surg Today 2005;35:252–255. [CrossRef]
  • 4. Burg MD, Dallara JJ. Rupture of a previously normal spleen in association with enoxaparin: an unusual cause of shock. J Emerg Med 2001;20:349–352. [CrossRef]
  • 5. Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Nontraumatic splenic rupture: report of seven cases and review of the literature. World J Gastroenterol 2008;14:6711–6716. [CrossRef]
  • 6. Sirbou R, Tissier C, Bejot Y, Freysz M. Spontaneous splenic rupture after thrombolysis for ischemic stroke. Am J Emerg Med 2015;33:478. e3–478.e4. [CrossRef]
  • 7. Genthon A, Frasure S, Kinnaman K, Huang C, Noble V. Bedside ultrasound diagnosis of a spontaneous splenic hemorrhage after tissue plasminogen activator administration. Am J Emerg Med 2014;32:1553.e1–1553.e2. [CrossRef]
  • 8. Kocael PC, Osman S, Bilgin IA, et al. Characteristics of patients with spontaneous splenic rupture. Int Surg 2014;99:714–718. [CrossRef]
  • 9. Cengiz F, Yakan S, Enver I. A rare cause of acute abdomen: Splenic hematoma and rupture resulting from pancreatitis. Turk J Surg 2013;29:81–83. [CrossRef]
  • 10. Hadary A, Dashkovsky I, Rapaport A, Cozakov JC. Non-traumatic rupture of spleen: Can splenectomy be applied selectively? Isr Med Assoc J 2008;10:889–891. https://www.ima.org.il/MedicineIMAJ/ viewarticle.aspx?year=2008&month=12&page=889
  • 11. Reches A, Almog R, Pauzner D, Almog B, Levin I. Spontaneous splenic rupture in pregnancy after heparin treatment. BJOG 2005;112:837– 838. [CrossRef]
  • 12. Rhee SJ, Sheena Y, Imber C. Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen. Am J Emerg Med 2008;26:733.e5–733.e6. [CrossRef]
  • 13. Weiss SJ, Smith T, Laurin E, Wisner DH. Spontaneous spleen rupture due to subcutaneous heparin therapy. J Emerg Med 2000;18:421– 426. [CrossRef]
  • 14. Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg 2009;96:1114–1121. [CrossRef]

Spleen Rupture Due to Anticoagulant Use: A Case Report

Year 2020, Volume: 4 Issue: 3, 391 - 393, 01.09.2020
https://doi.org/10.30621/jbachs.2020.1050

Abstract

Spleen rupture caused by anticoagulant drug use is a rare but potentially fatal condition. Co-existence of oral anticoagulant use and complaint of abdominal pain must remind diagnosis of spleen rupture. In this paper, we aimed to present a case of spleen rupture identified in a patient with history of heart valve replacement and concomitant oral anticoagulant use. A 44-year old male patient admitted to emergency service with complaint of abdominal pain sustained for 12 hours. There was no history of trauma. A subcapsular hematoma sized 9x8 cm in spleen and perihepatic fluid were identified in computerized tomography CT examination. There was no active bleeding in abdominal CT angiography; however, emergent surgery was planned for patient due to impaired hemodynamic balance and decreasing hemoglobin level. In laparotomy, extensive hemorrhagic fluid in abdomen and active bleeding in spleen were present. Spleenectomy was performed. Patient was discharged at postoperative 5th day without a serious problem during postoperative monitoring. Spleen rupture is a rare condition in patients with anticoagulant use. Lack of trauma history may mislead clinican and may delay diagnosing. Early and accurate diagnosis is critical for patient.

References

  • 1. Lowry LE, Goldner JA. Spontaneous splenic rupture associated with apixaban: A case report. J Med Case Rep 2016;10:217. [CrossRef]
  • 2. Aubrey-Bassler FK, Sowers N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med 2012;12:11. [CrossRef]
  • 3. Kapan M, Kapan S, Karabicak I, Bavunoglu I. Simultaneous rupture of the liver and spleen in a patient on warfarin therapy: report of a case. Surg Today 2005;35:252–255. [CrossRef]
  • 4. Burg MD, Dallara JJ. Rupture of a previously normal spleen in association with enoxaparin: an unusual cause of shock. J Emerg Med 2001;20:349–352. [CrossRef]
  • 5. Gedik E, Girgin S, Aldemir M, Keles C, Tuncer MC, Aktas A. Nontraumatic splenic rupture: report of seven cases and review of the literature. World J Gastroenterol 2008;14:6711–6716. [CrossRef]
  • 6. Sirbou R, Tissier C, Bejot Y, Freysz M. Spontaneous splenic rupture after thrombolysis for ischemic stroke. Am J Emerg Med 2015;33:478. e3–478.e4. [CrossRef]
  • 7. Genthon A, Frasure S, Kinnaman K, Huang C, Noble V. Bedside ultrasound diagnosis of a spontaneous splenic hemorrhage after tissue plasminogen activator administration. Am J Emerg Med 2014;32:1553.e1–1553.e2. [CrossRef]
  • 8. Kocael PC, Osman S, Bilgin IA, et al. Characteristics of patients with spontaneous splenic rupture. Int Surg 2014;99:714–718. [CrossRef]
  • 9. Cengiz F, Yakan S, Enver I. A rare cause of acute abdomen: Splenic hematoma and rupture resulting from pancreatitis. Turk J Surg 2013;29:81–83. [CrossRef]
  • 10. Hadary A, Dashkovsky I, Rapaport A, Cozakov JC. Non-traumatic rupture of spleen: Can splenectomy be applied selectively? Isr Med Assoc J 2008;10:889–891. https://www.ima.org.il/MedicineIMAJ/ viewarticle.aspx?year=2008&month=12&page=889
  • 11. Reches A, Almog R, Pauzner D, Almog B, Levin I. Spontaneous splenic rupture in pregnancy after heparin treatment. BJOG 2005;112:837– 838. [CrossRef]
  • 12. Rhee SJ, Sheena Y, Imber C. Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen. Am J Emerg Med 2008;26:733.e5–733.e6. [CrossRef]
  • 13. Weiss SJ, Smith T, Laurin E, Wisner DH. Spontaneous spleen rupture due to subcutaneous heparin therapy. J Emerg Med 2000;18:421– 426. [CrossRef]
  • 14. Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg 2009;96:1114–1121. [CrossRef]
There are 14 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Mehmet Ulusahin This is me

Kadir Tomas This is me

Mehmet Arif Usta This is me

Arif Burak Cekic This is me

Serdar Turkyilmaz This is me

Publication Date September 1, 2020
Published in Issue Year 2020 Volume: 4 Issue: 3

Cite

APA Ulusahin, M., Tomas, K., Usta, M. A., Cekic, A. B., et al. (2020). Spleen Rupture Due to Anticoagulant Use: A Case Report. Journal of Basic and Clinical Health Sciences, 4(3), 391-393. https://doi.org/10.30621/jbachs.2020.1050
AMA Ulusahin M, Tomas K, Usta MA, Cekic AB, Turkyilmaz S. Spleen Rupture Due to Anticoagulant Use: A Case Report. JBACHS. September 2020;4(3):391-393. doi:10.30621/jbachs.2020.1050
Chicago Ulusahin, Mehmet, Kadir Tomas, Mehmet Arif Usta, Arif Burak Cekic, and Serdar Turkyilmaz. “Spleen Rupture Due to Anticoagulant Use: A Case Report”. Journal of Basic and Clinical Health Sciences 4, no. 3 (September 2020): 391-93. https://doi.org/10.30621/jbachs.2020.1050.
EndNote Ulusahin M, Tomas K, Usta MA, Cekic AB, Turkyilmaz S (September 1, 2020) Spleen Rupture Due to Anticoagulant Use: A Case Report. Journal of Basic and Clinical Health Sciences 4 3 391–393.
IEEE M. Ulusahin, K. Tomas, M. A. Usta, A. B. Cekic, and S. Turkyilmaz, “Spleen Rupture Due to Anticoagulant Use: A Case Report”, JBACHS, vol. 4, no. 3, pp. 391–393, 2020, doi: 10.30621/jbachs.2020.1050.
ISNAD Ulusahin, Mehmet et al. “Spleen Rupture Due to Anticoagulant Use: A Case Report”. Journal of Basic and Clinical Health Sciences 4/3 (September 2020), 391-393. https://doi.org/10.30621/jbachs.2020.1050.
JAMA Ulusahin M, Tomas K, Usta MA, Cekic AB, Turkyilmaz S. Spleen Rupture Due to Anticoagulant Use: A Case Report. JBACHS. 2020;4:391–393.
MLA Ulusahin, Mehmet et al. “Spleen Rupture Due to Anticoagulant Use: A Case Report”. Journal of Basic and Clinical Health Sciences, vol. 4, no. 3, 2020, pp. 391-3, doi:10.30621/jbachs.2020.1050.
Vancouver Ulusahin M, Tomas K, Usta MA, Cekic AB, Turkyilmaz S. Spleen Rupture Due to Anticoagulant Use: A Case Report. JBACHS. 2020;4(3):391-3.