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Updated: Aug 22, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Splenic rupture and anticoagulant therapy]
R Badaoui1, K Chebboubi, J Delmas
1Département d'anesthésie-réanimation B, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens, France. badaoui.rachid@chu-amiens.fr
Abstract:
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.
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