title: Delayed splenic rupture in a haemophiliac.
abstract: We report an unusual case of post-traumatic delayed rupture of the spleen occurring in a 38-year-old man with haemophilia A. The time interval between injury and splenic rupture was at least 2 weeks. Although a rare event, the possibility of splenic rupture should always be considered in the differential diagnosis in patients with a bleeding disorder and abdominal pain, even when the patient does not initially give a history of abdominal injury. Radiological imaging, including ultrasound examination, is of great value in establishing the diagnosis. This case report includes a brief review of other similar cases.
authors.affiliation: Oxford Haemophilia Centre, Churchill Hospital, UK.
authors.forename: D W
authors.initials: DW
authors.lastname: Thomas
authors.forename: W
authors.initials: W
authors.lastname: Atoyebi
authors.forename: H A
authors.initials: HA
authors.lastname: McElwaine-Johnn
authors.forename: P L
authors.initials: PL
authors.lastname: Giangrande
mesh_terms: D000328:Adult; D006467:Hemophilia A / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D013161:Splenic Rupture / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications