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Published on: June 18, 2021
Atraumatic Splenic Rupture: A Notable Complication of Rivaroxaban Use
Catherine A Ostos Perez1, Kristina Menchaca1, Can X Jones1
1Internal Medicine, University of Miami John F. Kennedy Medical Center, Atlantis, USA.
Abstract:
Direct oral anticoagulants (DOACs) are well known to be associated with bleeding complications. However, little is known about their association with atraumatic splenic rupture, a potentially fatal condition. We present the case of a 73-year-old female with paroxysmal atrial fibrillation managed with rivaroxaban who developed a spontaneous atraumatic splenic rupture. This highlights the importance of recognizing this complication in patients without previous risk factors, such as abdominal trauma or infiltrative splenic disease, who are under anticoagulation with DOACs. There is a strong need for further research on this complication's underlying mechanism and management.
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