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Atraumatic splenic rupture after coagulopathy owing to a snakebite
Changwoo Kang1, Dong Hoon Kim1, Seong Chun Kim1
1Department of Emergency Medicine (Drs Kang, DH Kim, SC Kim, and DS Kim).
Wilderness & Environmental Medicine
|June 3, 2014
Summary
Snakebite envenomation can cause coagulopathy, a condition affecting blood clotting. This report details a rare case where coagulopathy from a snakebite likely led to spontaneous splenic rupture, a previously undocumented complication.
Area of Science:
- Medical Toxicology
- Hematology
- Emergency Medicine
Background:
- Coagulopathy is a frequent complication of venomous snakebites.
- Hemoperitoneum secondary to coagulopathy after snakebite is rare.
- Atraumatic splenic rupture is an uncommon yet life-threatening condition.
Observation:
- A patient presented with presumptive envenomation by Gloydius spp.
- The patient developed atraumatic splenic rupture.
Findings:
- The splenic rupture was a probable manifestation of venom-induced coagulopathy.
- This represents a previously unreported complication of snakebite.
Implications:
- Clinicians should consider splenic rupture in snakebite victims with coagulopathy.
- This case expands the spectrum of potential snakebite complications.
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