Splenic infarcts pdf merge

A ddimer test may be used for excluding the diagnosis of splenic infarct. On examination she had petechiae on her nose, and peripheral cyanosis, but we found no other skin lesions, and she had no signs of meningeal irritation. Antiphospholipid antibody syndrome with thrombotic splenic infarcts. Case 1, a 45yearold male with sickle cell trait hbs of 38. Acute splenic infarction at an academic general hospital over 10. Etiology and management of splenic infarction and splenic. Splenic infarction diagnosis involves a multistep process that includes the following practices. Two investigations were designed to determine the appearance of splenic infarcts. A case of isolated splenic infarction associated with a foramen ovale. Splenic infarct in a patient with autoimmune hemolytic anemia article pdf available in turkish journal of haematology 294. Splenic infarcts can occur due to a number of processes, involving either arterial supply, the spleen itself or the venous drainage. One study involving two hospitals over ten years describes only 0. Areas of adenocarcinoma merging with undifferentiated tumor were present. The area of the spleen affected by loss of blood supply or essentially the regions where the tissue death in the spleen has occurred is known as splenic infarct.

Thorough medical examination and history of the patient to guarantee the most accurate diagnosis. Tissue death in the spleen, called splenic infarct, is due to a lack of blood flow or a lack of oxygen in. Splenic infarct in a patient with autoimmune hemolytic anemia. Causes, complications, symptoms, prognosis, and treatment. We describe a case of acute cytomegalovirus cmv infection complicated by acquired antiphospholipid antibodies and splenic thrombi. Occlusion is usually caused by bland or septic emboli as well as venous congestion by. We describe an unusual case of splenic infarction in a patient with both a foramen ovale and an interatrial septal aneurysm. Conclusion splenic infarction is a most unusual acute presentation of pancreatic. No abscess was demonstrated by these radionuclear imaging methods.

However, identification of the cause of infarction is essential. Splenic infarction is a rare presentation of acute infectious mononucleosis, occurring when the splenic artery or a subbranch becomes occluded with an embolus or clot. Splenic infarction may be the result of arterial or venous occlusion. Know the causes, signs, symptoms, treatment and diagnosis of splenic infarction. The computed tomographic ct appearance of splenic infarction has classically been described as peripheral, wedgeshaped, and low in density. A 27yearold white woman was admitted to our hospital in august, 2002, 12 h after the sudden onset of vomiting, epigastric pain, and fever. It is the result of arterial or venous compromise and is associated with a heterogeneous group of diseases. A mysterious case of an infarcted spleen due to kissing. Acute massive splenic infarction with complete liquefaction of the spleen in sickle cell disease to the editor. Four cases of splenic infarction andor splenic vein thrombosis were identified 4 males, average age of 45 years, range from 38 to 52 years. Anemia, thrombocytopenia, or rarely anemia, thrombocytopenia, or rarely elective diagnostic or therapeutic splenectomy. Splenic infarction refers to occlusion of the splenic vascular supply, leading to parenchymal ischemia and subsequent tissue necrosis. Splenic infarction should certainly be considered in differential diagnosis of patients presenting to the emergency department due to abdominal pain, in view of underlying and riskposing diseases. Splenic infarction occurs rarely and can present as acute abdominal pain.

The infarct may be segmental, or it may be global, involving the entire organ. Massive splenic infarction with specific sonographic feature. She reported that she had been in good health until the symptoms started. The link between splenic sequestration and massive infarction has been noted by several authors. Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. Splenic infarction is a result of ischemia to the spleen, and in many cases requires no treatment. However, there are only a few reports of splenic infarction as the initial lymphomas manifestation2,5, with none describing an acute abdomen due to splenic infarct. Our case adds to the literature the finding of a rare etiology of splenic infarction secondary to im and the importance of stepwise and.

192 1200 891 453 607 1561 1235 212 659 717 1505 1173 474 25 1258 475 1210 1175 649 288 677 782 665 634 104 1346 1188 776 548 1289 331 853 703 4 248 53