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Rupture of a previously normal spleen in association with enoxaparin: An unusual cause of shock |
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| Authors: | Burg M D Dallara J J |
| Institution: | a Division of Emergency Medicine, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA |
| Abstract: | We report the case of an adult male presenting in shock caused by spontaneous rupture of a pathologically normal spleen. One day before his presentation he had received a single subcutaneous injection of enoxaparin. This was the patient’s only clearly identifiable risk factor for spontaneous splenic rupture. Nontraumatic splenic rupture should be included in the differential diagnosis of shock. |
| Keywords: | spleen shock splenic rupture enoxaparin low-molecular-weight heparin |
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