title: Massive hemoperitoneum with splenic infarction in Evans syndrome.
abstract: Evans syndrome is a very rare hematologic autoimmune disease, characterized by a direct Coombs' positive hemolytic anemia and immune thrombocytopenic purpura without a known underlying etiology. The clinical course is generally chronic with frequent relapses and remissions. Evans syndrome usually is complicated by hemolytic or thrombocytopenic symptoms. This is seldom associated with thrombosis or infarction. Reported here is a case with massive hemoperitoneum because of splenic infarction with rupture, in an 18-month-old male patient with Evans syndrome, and the embolization of splenic artery. This article also carries clinical and imaging features and the review of medical literature.
authors.affiliation: Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea, Republic of Korea.
authors.forename: Eun Mi
authors.initials: EM
authors.lastname: Ryu
authors.forename: Soo Ah
authors.initials: SA
authors.lastname: Im
authors.forename: Ho Jong
authors.initials: HJ
authors.lastname: Chun
authors.forename: Nak Gyun
authors.initials: NG
authors.lastname: Chung
authors.forename: Jae Wook
authors.initials: JW
authors.lastname: Lee
mesh_terms: D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications; D000753:Anemia, Refractory / Q000150:complications*; D006465:Hemoperitoneum / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D012421:Rupture / Q000150:complications; D013159:Splenic Infarction / Q000150:complications*; D013921:Thrombocytopenia / Q000150:complications