Tenofovir-Induced Fanconi Syndrome Associated with a Fragility Fracture of the Right Femoral Neck

Figure 1: Large laceration extending up to the splenic peduncle.Distorted spleen with heterogenous hyperdense pericapsular splenic collection (14 cm 5.4 cm).There are less than 15 case reports of SSR in dialysis patients and all cases underwent splenectomy. 4,5Our patient is the first case to be successfully managed conservatively.Uremic coagulopathy, the use of antiplatelet drugs and anticoagulants are possible risk factor in such patients.Because of the rarity of cases, there is no laid down management guideline.This report underscores two points: Spontaneous splenic rupture can present subacutely in dialysis patients, and conservative management can be an option for moderate-severe injuries in hemodynamically stable patients.