Delayed splenic rupture in a haemophiliac

Authors: Thomas, D. W.¹; Atoyebi, W.¹; McElwaine-Johnn, H. A.¹; Giangrande, P. L. F.¹

Source: Clinical & Laboratory Haematology, Volume 21, Number 3, June 1999 , pp. 215-218(4)

Publisher: Blackwell Publishing

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Abstract:

We report an unusual case of post-traumatic delayed rupture of the spleen occurring in a 38-year-old man with haemophilia A. The time interval between injury and splenic rupture was at least 2 weeks. Although a rare event, the possibility of splenic rupture should always be considered in the differential diagnosis in patients with a bleeding disorder and abdominal pain, even when the patient does not initially give a history of abdominal injury. Radiological imaging, including ultrasound examination, is of great value in establishing the diagnosis. This case report includes a brief review of other similar cases.

Keywords: Haemophilia; splenic rupture

Document Type: Research article

DOI: 10.1046/j.1365-2257.1999.00206.x

Affiliations: 1: Oxford Haemophilia Centre, The Churchill Hospital, Oxford, UK

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