A rare cause of anaemia in an older patient with fractured neck of femur
Delayed splenic rupture is a rare but well recognised clinical phenomenon with significant morbidity and mortality. We describe an 84-year-old woman with persistent unexplained anaemia requiring transfusion following a fractured neck of femur. One month after hemiarthroplasty, she collapsed and became haemodynamically unstable with profound anaemia. Computed tomography of the abdomen revealed splenic haematoma with haemoperitoneum, with splenic rupture confirmed at the post-mortem examination.