Rupture de la rate et anticoagulant

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• 作者：Badaoui ; R. ; Chebboubi ; K. ; Delmas ; J. ; Jakobina ; S. ; Mahjoub ; Y. ; Riboulot ; M.
• 关键词：Rupture spl&eacute ; nique ; Spl&eacute ; nectomie ; Anticoagulant ; Spleen rupture ; Anticoagulation ; Splenectomy
• 刊名：Annales Francaises d'Anesthesie et de Reanimation
• 出版年：2004
• 出版时间：July, 2004
• 年：2004
• 卷：23
• 期：7
• 页码：748-750
• 全文大小：159 K

文摘

Splenic rupture associated with anticoagulant therapy is a rare entity. We report a case of spontaneous splenic rupture in a 62-year-old man who was treated by acenocoumarol orally after an aortic-valve replacement. Unrecognised, minor trauma may lead to splenic haemorrhage in patients receiving anticoagulant therapy. The symptoms and signs may mimic those of acute myocardial infarction and cardiogenic shock. Early diagnosis is essential. Reversal of the anticoagulant and emergent splenectomy are the treatments of choice.