The Scanner: Splenic rupture, a rare cause of acute abdomen

Author(s): V Joshi, C Thomas

Description

An 87 years old man, with a past history of hypothyroidism, hypertension and chronic renal failure, presented with a four day history of general malaise and a one day history of abdominal discomfort and associated non specific chest pains. He denied any history of nausea, vomiting, diarrhoea, rectal bleeding. He denied any history of dyspnoea, cough, haemoptysis, diarrhoea, vomiting, headache or urinary symptoms. He was normally independent in his activities of daily living and denied any history of falls or trauma in the recent past. He was taking Aspirin 75 mg daily, bendroflumethiazide 2.5 mg/day, lisinopril 20mg/day, levothyroxine 100mcg/day and atenolol 25mg/day.