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Related Experiment Video

Updated: Jan 25, 2026

Predicting Catalyst Extrudate Breakage Based on the Modulus of Rupture
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Predicting Catalyst Extrudate Breakage Based on the Modulus of Rupture

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Splenic rupture after elective cardioversion.

Farid John Kehdy1, Emily Rapstine Bond1

  • 1Hiram C. Polk Department of Surgery, University of Louisville, Louisville, Kentucky, USA.

BMJ Case Reports
|April 25, 2019
PubMed
Summary

Spontaneous splenic rupture, though rare, can occur without trauma. This case highlights a splenic rupture after cardioversion, complicated by anticoagulation, leading to splenectomy.

Area of Science:

  • Trauma Surgery
  • Gastroenterology
  • Cardiology

Background:

  • Splenic laceration and rupture are common in trauma patients, particularly from blunt force.
  • Spontaneous splenic injury is unusual and often linked to viral, hematological, or malignant conditions.
  • Trauma-unrelated splenic rupture necessitates careful consideration of underlying causes and patient factors.

Observation:

  • A patient presented with spontaneous splenic rupture following semi-elective cardioversion.
  • No other preceding trauma was identified as a cause for the splenic injury.
  • The patient had atrial fibrillation requiring systemic anticoagulation, complicating surgical decisions.

Findings:

  • The case demonstrates a rare instance of splenic rupture without direct trauma, potentially linked to cardioversion.
Keywords:
arrhythmiasgeneral surgerytrauma

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  • Management was challenging due to the need for anticoagulation in a patient with splenic rupture.
  • Surgical intervention, specifically splenectomy, was performed.

    • Implications:

    • This case underscores the possibility of splenic rupture in non-traumatic settings, even after procedures like cardioversion.
    • Anticoagulation management is a critical factor in the surgical decision-making for splenic injuries.
    • Splenectomy remains a viable option for managing complex splenic ruptures, ensuring patient recovery.