Atraumatic Splenic Rupture after Myocardial Infarction

Abstract

Atraumatic splenic rupture is a rare but potentially life-threatening event. It mostly happens when the spleen is already diseased; however, sometimes it can be drug induced in a previously normal spleen. Although anticoagulation has been attributed to spontaneous splenic rupture quite frequently, the role of dual antiplatelet therapy is underestimated. We report a case of an 80-year-old woman who developed spontaneous splenic rupture 4 weeks after starting dual antiplatelet therapy.

Keywords

• Atraumatic splenic rupture
• clopidogrel
• antiplatelet therapy
• myocardial infarction