Abstract
We report a case of subcapsular splenic hematoma in a chronic hemodialysis patient. A 61-year-old woman with a 2-year history of maintenance hemodialysis complained of lower abdominal pain. The diagnosis of subcapsular hematoma was based on CT imaging. The patient did not have a history of either trauma or a condition predisposing to splenic hematoma, and thus her hematoma was considered to have been spontaneous. The patient's condition improved in response to conservative therapy, although she received blood transfusions for anemia.
We conclude that while splenic hematoma is a rare complication, it should be recognized as one of the causes of abdominal pain in hemodialysis patients.
