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Case Report

EJMCR. 2020; 4(9): 285-287

An 88-year old man with spontaneous splenic rupture after granulocyte colony stimulating factor administration

Marta De Castro Martinez, Cristina Castillo Maza.

Background: The main use of Granulocyte colony stimulating factor (G-CSF) is stem cell mobilization in neutropenic patients and healthy donors as well as for engraftment. Most of their secondary effects are mild and temporary; however, there is a relation between spontaneous splenic rupture and G-CSF treatment.
Case Presentation: We report a case of an 88-year old man, who presented with a spontaneous splenic rupture after use of G-CSF.
Conclusion: Although it is an uncommon side effect, the mortality is very high, so clinicians should be aware of the importance about maintaining a high index of suspicion for this condition.

Key words: Case report, spleen, hemoperitoneum, shock, neutropenia.

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