title: Non-traumatic splenic rupture in a patient on oral anticoagulation.
abstract: BACKGROUND
  Splenic injury is normally associated with trauma, but spontaneous splenic rupture has been described in various systemic diseases.
  
  
  METHODS
  A 56-year-old male on oral anticoagulation presented to the emergency department with epigastric pain, nausea, and left upper quadrant tenderness. There was no history of trauma. Contrast-enhanced CT imaging revealed a large subcapsular haematoma of the spleen. Oral anticoagulation was antagonised with vitamin K and the patient was discharged in good condition after 3 days of clinical observation.
  
  
  CONCLUSIONS
  Non-traumatic splenic rupture is a rare complication of oral anticoagulation.
authors.affiliation: Department of Emergency Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, ZA, the Netherlands. m.m.de_kubber@lumc.nl.
authors.forename: Marije M
authors.initials: MM
authors.lastname: de Kubber
authors.forename: Lucia Jm
authors.initials: LJ
authors.lastname: Kroft
authors.forename: Bas
authors.initials: B
authors.lastname: de Groot