Delayed splenic rupture in a cirrhotic.
We present the case of a young alcoholic with a history of mesocaval shunt for variceal bleeding who presented in hypovolemic shock three weeks following an auto accident. He was initially assumed to have recurrent gastrointestinal bleeding, but instead proved to have delayed rupture of the spleen.
D000063:Accidents, Traffic; D000328:Adult; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D013156:Splenectomy; D013161:Splenic Rupture / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013997:Time Factors