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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr0220102743.
Published online Jul 22, 2010. doi:  10.1136/bcr.02.2010.2743
PMCID: PMC3028159
Reminder of important clinical lesson
The pitfalls of protocols – a case of postpartum splenic artery aneurysm rupture
M J Thomson,1 S Seshadri,2 S Swami,1 G F Strandvik,1 and K Neales1
1Department of Anaesthesia and Intensive Care, William Harvey Hospital, Kent, UK
2Department of Obstetrics and Gynaecology, Queen Marys Hospital, Kent, UK
Correspondence to S Seshadri, v9dya/at/
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.
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