Spontaneous splenic rupture in polycythemia vera

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Author Info

Christine Moore Donald R Fleming Mailien R Rogers

Corresponding Author

Christine Moore
Department of Internal Medicine, East Tennessee State University, James H. Quillen College of Medicine, Johnson City, TN, USA

A B S T R A C T

Atraumatic spontaneous splenic rupture is rare and occurs in the setting of spleen pathology from a myriad of causes, including myeloproliferative disorders. Only four previously reported cases of atraumatic spontaneous splenic rupture associated with polycythemia vera exist. We report the fifth case, which also is the first with severe thrombocytosis requiring multiple plateletpheresis despite medical therapy and excellent long-term control. In addition to reporting the fifth case of spontaneous splenic rupture in a polycythemia vera patient, we also review the risks associated with splenectomy in patients with polycythemia vera and therapies that can prevent spontaneous splenic rupture.

Article Info

Article Type

Case Report

Publication history

Received: Mon 30, Apr 2018
Accepted: Tue 08, May 2018
Published: Mon 14, May 2018

Copyright

© 2023 Christine Moore. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.COR.2018.10.013