title: 21st century twist on Cullen's sign: new generation anticoagulants and splenic traum.
abstract: New anticoagulants such as Rivaroxaban have become a popular choice for patients needing anticoagulation for atrial fibrillation or venous thromboembolism, chiefly because anticoagulation is maintained without the need for monitoring. This can be problematic in cases of trauma, and in this article, we discuss the management and outcome of managing an elderly patient with a shattered spleen while on Rivaroxaban.
authors: Bradford Teaching Hospitals NHS Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK.
authors: Amarvir
authors: A
authors: Bilkhu
authors: Bradford Teaching Hospitals NHS Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK.
authors: Frances
authors: F
authors: Mosley
authors: Bradford Teaching Hospitals NHS Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK Jay.gokhale@bthft.nhs.uk.
authors: Jay A
authors: JA
authors: Gokhale
keywords: Cullen's sign; Rivaroxaban; Spleen; anticoagulation; injury; peri-umbilical ecchymosis; trauma