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Background  Splenic injury is normally associated with trauma, but spontaneous splenic rupture has been described in various systemic diseases.    Case presentation  A 56-year-old male on oral anticoagulation presented to the emergency department with epigastric pain, nausea, and left upper quadrant tenderness. There was no history of trauma. Contrast-enhanced CT imaging revealed a large subcapsular haematoma of the spleen. Oral anticoagulation was antagonised with vitamin K and the patient was discharged in good condition after 3 days of clinical observation.    Conclusion  Non-traumatic splenic rupture is a rare complication of oral anticoagulation.

Non-traumatic splenic rupture in a patient on oral anticoagulation