title: Hemophilic splenic rupture without thrombocytosis.
abstract: Spontaneous splenic rupture in hemophilia A is an uncommon occurrence which is difficult to diagnose. We have reported a case of hemophilic rupture of the spleen unaccompanied by thrombocytosis, which has been emphasized as a diagnostic clue to hemophilic splenic rupture. Hence, splenic rupture should still be considered in any hemophilic patient with pain in the left upper quadrant and a normal platelet count. Splenic rupture in hemophilia must be recognized because its treatment requires not only clotting factor infusion but also surgical intervention.
mesh_terms: D000328:Adult; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D013156:Splenectomy; D013161:Splenic Rupture / Q000150:complications* / Q000601:surgery; D013922:Thrombocytosis