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Correspondence
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Volume 342:1999-2000 June 29, 2000 Number 26
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Spontaneous Rupture of a Nontraumatic Intrasplenic Aneurysm

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To the Editor: Spontaneous rupture of splenic lesions is a well-described complication of infectious, hematologic, and neoplastic diseases.1 Intrasplenic aneurysms are uncommon and have been found most frequently in patients with portal hypertension.

We recently cared for a 36-year-old man who presented to a local hospital with acute, severe, diffuse abdominal pain and pain in the left shoulder. Initial examination revealed hypotension, tachycardia, and diffuse abdominal pain on palpation, with rebound tenderness. The patient's initial hemoglobin concentration was 6.7 g per deciliter, for which he was given two units of packed red cells, after which his blood pressure and hemoglobin . . . [Full Text of this Article]

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