Atraumatic splenic rupture in a patient treated with rivaroxaban: a case report and a narrative review.

Abstract

A narrative review based on the case of a patient presenting an atypical symptomatology of an atraumatic splenic rupture induced by rivaroxaban. An emergency splenectomy had to be performed. This complication is rare but increasing since the popularity of direct oral anticoagulants and the diagnosis is often delayed.

Atraumatic Splenic Rupture: A Notable Complication of Rivaroxaban Use

“…There have only been 12 reported cases of splenic rupture related to direct oral anticoagulants [8][9][10][11], and only six of them are due to rivaroxaban [12][13][14][15][16]. We present an unusual case of spontaneous splenic laceration secondary to anticoagulation with rivaroxaban.…”