Ruptured Angiomatous Spleen Presenting as a Severe Coagulation Defect

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Abstract
A case is decribed in which spontaneous rupture of an angiomatous spleen presented with an acute disorder of blood coagulation. Splenectomy was performed after successful correction of the coagulation defect by the administration of blood and blood-products. The presence of amyloidosis associated with myeloma may have increased the liability of the spleen to rupture. Indentation of the right lobe of the liver by the lower ribs produced a misleading appearance of the hepatic scintiscan.

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