title: Spontaneous rupture of the spleen in a patient with systemic lupus erythematosus initially presented as Evans syndrome.
abstract: BACKGROUND
  Although splenic abnormalities are common in patients with lupus, spontaneous rupture of spleen is extremely rare.
  
  
  METHODS
  A 15-year-old boy with new-onset Evans syndrome subsequently diagnosed as systemic lupus erythematosus developed spontaneous rupture of spleen during the course of his illness. Despite the severe thrombocytopenia, he was managed conservatively with gradual regression of hematoma without further complication.
  
  
  CONCLUSIONS
  Splenic rupture may occur spontaneously in the course of systemic lupus erythematosus. We conclude that conservative treatment of splenic rupture may be preferred especially in immunocompromised patients to avoid surgical complications.
authors: Departments of *Pediatric Hematology †Pediatric Nephrology ‡Radiology, Konya University Meram Faculty of Medicine, Konya §Ankara Children's Hematology and Oncology Hospital, Ankara, Turkey.
authors: Huseyin
authors: H
authors: Tokgoz
authors: Umran
authors: U
authors: Caliskan
authors: Bulent
authors: B
authors: Atas
authors: Orhan
authors: O
authors: Ozbek
authors: Betul
authors: B
authors: Tavil
mesh_terms: D000293:Adolescent; D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis*; D008297:Male; D012422:Rupture, Spontaneous; D013161:Splenic Rupture / Q000175:diagnosis* / Q000209:etiology*; D013921:Thrombocytopenia / Q000175:diagnosis*