Atraumatic Splenic Rupture in a Patient on Apixaban and Dual Antiplatelet Therapy. (June 2021)

• Record Type: Journal Article
• Authors: Natarajan, Piruthiviraj; Thangarasu, Sudhagar; Ruck, Lela; Estrada, Paul; Gajendran, Mahesh; Renganathan, Gowri; Prakash, Bharat Ved; Aduroja, Olufemi
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 9(2021)
• Publication Date: 2021-06
• Subjects: atraumatic splenic rupture -- apixaban -- dual antiplatelet therapy; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/23247096211026492
• Languages: English
• ISSNs: 2324-7096

Abstract

Splenic rupture due to any cause is a life-threatening complication and commonly attributed to trauma. Atraumatic splenic rupture is very rarely reported, and the incidence is currently unknown. Anticoagulants and dual anti-platelet medication can increase the chances of a splenic rupture. Surgical removal of the spleen may be warranted to prevent a life-threatening bleeding. Early identification and intervention are required for most patients as only a few qualify for medical management.