Abstract

LOPEZ-ALMANZA, Perla X. et al. Splenic rupture after anticoagulant therapy in a patient with a history of COVID-19: a case report. Cir. cir. [online]. 2023, vol.91, n.3, pp.427-431.  Epub Sep 04, 2023. ISSN 2444-054X.  https://doi.org/10.24875/ciru.22000006.

We present the case of a 75-year-old man with a history of COVID-19 and splenic infarct treated with enoxaparin, who presented with intense abdominal pain and tomographic findings of free peri-splenic fluid and a hyperdense image in the spleen. An emergency laparotomy was performed, with findings of a splenic rupture at the vascular hilum. Spontaneous splenic rupture is a rare and fatal entity that should be suspected in a patient with history of COVID-19 who presents with acute abdominal pain after the administration of heparin.

Keywords : Anticoagulation; COVID-19; Splenic rupture; SARS-CoV-2.

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