Prof. Mehmet Haberal is presented with The Award of The Spanish Order of The Civil Merit (Cruz de Official) by His Majesty King Felipe VI, King of Spain.
We are honored to announce that Prof. Dr. Seza Özen who is the member of Honorary Advisory Board of JBACHS has already won the Aziz Sancar Science Award of TUSEB.
We are happy to announce that The Journal of Basic and Clinical Health Sciences (JBACHS) is indexed by the Emerging Sources Citation Index since November 2017, and indexed by the Ulakbim-TR since 2017.
Journal of Basic and Clinical Health Sciences 2020 , Vol 4 , Issue 3
Spleen Rupture Due to Anticoagulant Use: A Case Report
Mehmet Ulusahin1,Kadir Tomas2,Mehmet Arif Usta3,Arif Burak Cekic3,Serdar Turkyilmaz3
1İdil State Hospital, General Surgery Clinic, Şırnak, Turkey
2Recep Tayyip Erdoğan University, Training and Research Hospital, General Surgery Clinic, Rize, Turkey
3Karadeniz Technical University Faculty of Medicine, Farabi Hospital, Department of General Surgery, Trabzon, Turkey
DOI : 10.30621/jbachs.2020.1050 Spleen rupture caused by anticoagulant drug use is a rare but potentially fatal condition. Co-existence of oral anticoagulant use and complaint of abdominal pain must remind diagnosis of spleen rupture. In this paper, we aimed to present a case of spleen rupture identified in a patient with history of heart valve replacement and concomitant oral anticoagulant use. A 44-year old male patient admitted to emergency service with complaint of abdominal pain sustained for 12 hours. There was no history of trauma. A subcapsular hematoma sized 9x8 cm in spleen and perihepatic fluid were identified in computerized tomography (CT) examination. There was no active bleeding in abdominal CT angiography; however, emergent surgery was planned for patient due to impaired hemodynamic balance and decreasing hemoglobin level. In laparotomy, extensive hemorrhagic fluid in abdomen and active bleeding in spleen were present. Spleenectomy was performed. Patient was discharged at postoperative 5th day without a serious problem during postoperative monitoring. Spleen rupture is a rare condition in patients with anticoagulant use. Lack of trauma history may mislead clinican and may delay diagnosing. Early and accurate diagnosis is critical for patient. Keywords : spleen, rupture, abdominal pain, subcapsular hematoma, atraumatic, anticoagulation