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Spontaneous splenic rupture secondary to dabigatran: the last in a series of unfortunate events.
- Source :
-
Clinical medicine (London, England) [Clin Med (Lond)] 2018 Oct; Vol. 18 (5), pp. 406-408. - Publication Year :
- 2018
-
Abstract
- We present the case of a 77-year-old woman who had an accidental fall in her garden, resulting in a fracture of her left ankle. After manipulation of the fracture, she developed sudden onset shortness of breath. An echo led to the diagnosis of Takotsubo cardiomyopathy. Shortly after this she developed sudden onset receptive and expressive dysphasia. Magnetic resonance imaging (MRI) of the head confirmed a left parietal infarct thought to be secondary to left ventricular thrombus formation. She was started on dabigatran. A few days later, she developed abdominal pain, and was subsequently diagnosed with a spontaneous splenic rupture. This case was interesting due to the unusual chain of events following a simple fall, and also a rare complication of anticoagulant therapy.<br /> (© Royal College of Physicians 2018. All rights reserved.)
- Subjects :
- Accidental Falls
Acute Disease
Aged
Ankle Fractures
Anticoagulants therapeutic use
Dabigatran therapeutic use
Female
Head diagnostic imaging
Humans
Magnetic Resonance Imaging
Pulmonary Edema diagnosis
Pulmonary Edema etiology
Radiography, Abdominal
Troponin blood
Anticoagulants adverse effects
Dabigatran adverse effects
Splenic Rupture chemically induced
Splenic Rupture diagnosis
Splenic Rupture physiopathology
Takotsubo Cardiomyopathy blood
Takotsubo Cardiomyopathy complications
Takotsubo Cardiomyopathy diagnosis
Takotsubo Cardiomyopathy drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1473-4893
- Volume :
- 18
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical medicine (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 30287437
- Full Text :
- https://doi.org/10.7861/clinmedicine.18-5-406