Spontaneous rupture of the spleen is rare and has not been previously reported in association with idiopathic thrombocytopaenic purpura. Its rarity makes familiarity with its presentation difficult and may result in a potentially fatal delay in diagnosis and treatment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2399762PMC
http://dx.doi.org/10.1136/pgmj.69.815.744DOI Listing

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