2014
DOI: 10.1001/jama.2014.117
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Progressive Anemia and Left Upper Quadrant Pain in a Patient With Polycythemia Vera

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Cited by 4 publications
(2 citation statements)
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“…Hematologic malignancies, including myelofibrosis can rarely lead to a spontaneous splenic rupture [ 14 , 15 , 16 ]. Cases have even been described where the initial presentation of myelofibrosis was abdominal distention due to splenomegaly with subcapsular hematoma [ 16 ].…”
Section: Discussion and Review Of The Literaturementioning
confidence: 99%
“…Hematologic malignancies, including myelofibrosis can rarely lead to a spontaneous splenic rupture [ 14 , 15 , 16 ]. Cases have even been described where the initial presentation of myelofibrosis was abdominal distention due to splenomegaly with subcapsular hematoma [ 16 ].…”
Section: Discussion and Review Of The Literaturementioning
confidence: 99%
“…Atraumatic spontaneous splenic rupture occurs in the setting of abnormal spleen pathology. Causes include congenital hemolytic anemias, infections (mononucleosis, malaria, endocarditis); infiltrative disorders (amyloidosis, Gaucher's disease); lymphoproliferative disorders; medications (anticoagulants, granulocyte colony-stimulating factor, thrombolytics); myeloproliferative disorders; nonhematologic malignancies; pancreatitis; and portal hypertension [7]. Symptoms are left upper quadrant pain, guarding, hemodynamic instability, and left shoulder pain from diaphragmatic irritation.…”
Section: Discussionmentioning
confidence: 99%