Splenic rupture after elective cardioversion

Farid John Kehdy, Emily Rapstine Bond

Research output: Contribution to journalArticlepeer-review


Splenic laceration and rupture are common phenomena among patients in a traumatic setting, especially in blunt trauma. Much more unusual, however, is splenic injury without a known insult. Several case reports and studies have been written about spontaneous splenic injury in patients with viral, haematological or malignant processes. Recently, we encountered a patient with a spontaneous splenic rupture and no preceding trauma apart from semielective cardioversion. Operative decision-making was complicated by the fact that he required systemic anticoagulation for atrial fibrillation. He eventually underwent splenectomy and made an uneventful recovery.

Original languageEnglish (US)
Article numbere226679
JournalBMJ case reports
Issue number4
StatePublished - Apr 23 2019

Bibliographical note

Publisher Copyright:
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.


  • arrhythmias
  • general surgery
  • trauma


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