Apixaban is a direct oral anticoagulant that works by inhibiting factor Xa. It has been associated with adverse bleeding outcomes including atraumatic splenic rupture. We present the case of an 86-year-old man who presented with features of left upper abdominal pain and hemorrhagic shock found to have atraumatic splenic rupture and hemoperitoneum on imaging.
SAGE Open Med Case Rep
Basnet, S., Mohanty, E., Mir, I., Dhital, R., Koirala, A., & Tachamo, N. (2019). Atraumatic splenic rupture associated with apixaban.. SAGE Open Med Case Rep, 7, 1-3. https://doi.org/10.1177/2050313X19832490