Atraumatic splenic rupture associated with apixaban. (February 2019)

• Record Type: Journal Article
• Authors: Basnet, Sijan; Mohanty, Elan; Mir, Izza; Dhital, Rashmi; Koirala, Ajay; Tachamo, Niranjan
• Is Part Of: SAGE open medical case reports. Volume 7(2019)
• Publication Date: 2019-02
• Subjects: Apixaban -- splenic rupture -- atraumatic; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1177/2050313X19832490
• Languages: English
• ISSNs: 2050-313X

Abstract

Apixaban is a direct oral anticoagulant that works by inhibiting factor Xa. It has been associated with adverse bleeding outcomes including atraumatic splenic rupture. We present the case of an 86-year-old man who presented with features of left upper abdominal pain and hemorrhagic shock found to have atraumatic splenic rupture and hemoperitoneum on imaging.