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1 results

  • Delayed diagnosis of splenic rupture following minor trauma: Beware of comorbid conditions

  • Mohamed Ali Peera, Eddy S. Lang
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 6 / Issue 3 / May 2004
    Published online by Cambridge University Press:
    21 May 2015, pp. 217-219
    Print publication:
    May 2004
    • Article
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  • Although rare, spontaneous splenic rupture has been reported in cases of chronic lymphocytic leukemia (CLL). In contrast, there are no published reports of splenic injury resulting from minor trauma in CLL patients. We report the case of an 81-year-old woman with a history of CLL, who presented with minor trauma to her coccygeal region, and was found to have a splenic rupture. We briefly describe the incidence, pathogenesis, presentation, diagnosis, management and prognosis of splenic injury, especially in cases with a history of splenomegaly.