BMJ Case Reports 2010; doi:10.1136/bcr.02.2010.2743
  • Reminder of important clinical lesson

The pitfalls of protocols – a case of postpartum splenic artery aneurysm rupture

  1. K Neales1
  1. 1Department of Anaesthesia and Intensive Care, William Harvey Hospital, Kent, UK
  2. 2Department of Obstetrics and Gynaecology, Queen Marys Hospital, Kent, UK
  1. Correspondence to S Seshadri, v9dya{at}
  • Published 22 July 2010


The authors present a case of splenic artery aneurysm rupture, which neatly illustrates some of the problems of modern medical practice and the potential detriment of blind adherence to protocol driven care, without adequate reflection on the whole clinical picture and possible alternative diagnoses.


  • Competing interests None.

  • Patient consent Obtained.

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