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Spontaneous Splenic Laceration Presenting As Stable Angina In The Ed, Lea Rowson, James Baird
Spontaneous Splenic Laceration Presenting As Stable Angina In The Ed, Lea Rowson, James Baird
Rowan-Virtua Research Day
We present a case of a 62-year-old female who presented to the emergency department complaining of classic cardiac chest pain and was ultimately diagnosed with hemoperitoneum due to a splenic laceration sustained during recent colonoscopy. The signs and symptoms between these two diagnoses can be vaguely similar, and a missed diagnosis of either leads to increased morbidity and mortality. To make an appropriate diagnosis, a thorough history and physical examination is imperative. Observation of non-musculoskeletal left shoulder pain in addition to abdominal tenderness should lead the astute clinician down a different path towards diagnosis. Kehr’s sign is present in many …