TY - JOUR T1 - Non-operative management of a splenic laceration in a patient with the Proteus syndrome. JF - Journal of Accident & Emergency Medicine JO - Arch Emerg Med SP - 111 LP - 113 DO - 10.1136/emj.14.2.111 VL - 14 IS - 2 AU - W Ceelen AU - J De Waele AU - M Kunnen AU - B de Hemptinne Y1 - 1997/03/01 UR - http://emj.bmj.com/content/14/2/111.abstract N2 - An adult patient with the Proteus syndrome sustained a grade III splenic laceration after falling off a horse. Clinical features of this rare disorder include subcutaneous and visceral hamartomatous tumours. The patient also suffered from chronic intravascular coagulation associated with extensive haemangiomatosis (Kasabach-Merritt syndrome). Considering the visceral anomalies and abnormal coagulation, a non-operative approach was preferred despite considerable transfusion requirement, and the patient successfully underwent embolisation of the splenic artery. This is the first reported case of splenic injury in a patient with Proteus syndrome. ER -