Abstract

ALONSO CARNICERO, Patricia et al. Spontaneous rupture of spleen in a patient treated with acenocoumarol. Rev. argent. cir. [online]. 2018, vol.110, n.3, pp.169-171. ISSN 2250-639X.

The splenic rupture is most commonly related to trauma, but spontaneus ruptures have also been described with increasing frequency. We present a case of a male patient with spontaneous splenic rupture due to oral anticoagulant overdose that required urgent splenectomy. The spontaneous splenic rupture is a life-threatening condition that must be considered in patients with acute abdomen. Although most ruptures are associated with to neoplastic and infectious complications , recent reports have related rupture with anticoagulant and antiaggregant therapies. Moreover, since the number of patients undergoing oral anticoagulant therapies is growing, overdose of anticoagulant drugs must be considered as a possible ethiology of spontaneous splenic rupture and suspect this association in patient with acute abdomen undergoing anticoagulant therapy.

Keywords : Atraumatic splenic rupture; Spleen; Acenocoumarol; Oral anticoagulation; Acute abdomen.