title: Non-traumatic splenic rupture in a patient with Kasabach-Merritt syndrome.
abstract: This report presents a case illustrating the complications of Kasabach-Merritt syndrome in a 22-year-old man. The patient presented with acute abdominal pain and profound anaemia; a CT scan revealed intraperitoneal bleeding from spontaneous splenic rupture. The patient underwent initial emergency laparotomy and splenectomy, with a subsequent further laparotomy to control haemorrhage. Blood products requirements were extensive: 28 units red blood cells, 14 units fresh frozen plasma, 10 units platelets, 10 units cryoprecipitate and 2× Novo VII. He was then transferred to a nearby tertiary care unit for further management to control his coagulaopathy and he made a full recovery after 4 weeks.
authors.affiliation: St Mary's Hospital, General Surgery, Parkhurst Road, Newport, Isle of Wight PO30 5TG, UK.
authors.forename: Jitesh
authors.initials: J
authors.lastname: Parmar
authors.forename: Behnam
authors.initials: B
authors.lastname: Shaygi
authors.forename: Mike
authors.initials: M
authors.lastname: Nelson