Spontaneous splenic hematoma due to anticoagulant treatment: A case report

Yahya Kemal Çalışkan; Haluk Kerim Karakullukcu; Hanife Şeyda Ülgür; Büşra Temiz; Osman Sinan Özsezen; Fatih Başak

doi:10.28982/josam.581653

Authors

Yahya Kemal Çalışkan https://orcid.org/0000-0003-1999-1601
Haluk Kerim Karakullukcu https://orcid.org/0000-0002-1180-8297
Hanife Şeyda Ülgür https://orcid.org/0000-0003-0896-3285
Büşra Temiz https://orcid.org/0000-0002-6838-179X
Osman Sinan Özsezen https://orcid.org/0000-0002-5659-7323
Fatih Başak https://orcid.org/0000-0003-1854-7437

DOI:

https://doi.org/10.28982/josam.581653

Keywords:

Spleen, Oral anticoagulant, Non-traumatic spleen hematoma

Abstract

Splenic injury is mostly associated with trauma, but spontaneous splenic injury has been associated in various systemic diseases. A 46-year-old male patient was admitted to the emergency department with epigastric pain and tenderness in the left upper quadrant. There was no history of trauma, but he was using oral anticoagulant treatment. Contrast-enhanced computed tomography imaging revealed a subcapsular hematoma of the spleen. Oral anticoagulation was antagonized with vitamin K and the patient was discharged in good condition after 3 days of clinical observation. Non-traumatic splenic rupture is a rare complication of oral anticoagulation.

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