Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. Massive splenic infarction with specific sonographic feature. She reported that she had been in good health until the symptoms started. Occlusion is usually caused by bland or septic emboli as well as venous congestion by. Acute splenic infarction at an academic general hospital over 10. Splenic infarction occurs rarely and can present as acute abdominal pain. One study involving two hospitals over ten years describes only 0. Antiphospholipid antibody syndrome with thrombotic splenic infarcts. Splenic infarction diagnosis involves a multistep process that includes the following practices. Conclusion splenic infarction is a most unusual acute presentation of pancreatic. We describe an unusual case of splenic infarction in a patient with both a foramen ovale and an interatrial septal aneurysm. Etiology and management of splenic infarction and splenic. Causes, complications, symptoms, prognosis, and treatment.
Two investigations were designed to determine the appearance of splenic infarcts. Tissue death in the spleen, called splenic infarct, is due to a lack of blood flow or a lack of oxygen in. Splenic infarction may be the result of arterial or venous occlusion. Splenic infarct in a patient with autoimmune hemolytic anemia article pdf available in turkish journal of haematology 294. We describe a case of acute cytomegalovirus cmv infection complicated by acquired antiphospholipid antibodies and splenic thrombi.
A mysterious case of an infarcted spleen due to kissing. Case 1, a 45yearold male with sickle cell trait hbs of 38. Splenic infarct in a patient with autoimmune hemolytic anemia. Anemia, thrombocytopenia, or rarely anemia, thrombocytopenia, or rarely elective diagnostic or therapeutic splenectomy. The computed tomographic ct appearance of splenic infarction has classically been described as peripheral, wedgeshaped, and low in density. 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 refers to occlusion of the splenic vascular supply, leading to parenchymal ischemia and subsequent tissue necrosis. No abscess was demonstrated by these radionuclear imaging methods. A ddimer test may be used for excluding the diagnosis of splenic infarct. Splenic infarction is a result of ischemia to the spleen, and in many cases requires no treatment. Thorough medical examination and history of the patient to guarantee the most accurate diagnosis. Splenic infarcts can occur due to a number of processes, involving either arterial supply, the spleen itself or the venous drainage. Know the causes, signs, symptoms, treatment and diagnosis of splenic infarction.
A 27yearold white woman was admitted to our hospital in august, 2002, 12 h after the sudden onset of vomiting, epigastric pain, and fever. 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. Our case adds to the literature the finding of a rare etiology of splenic infarction secondary to im and the importance of stepwise and. It is the result of arterial or venous compromise and is associated with a heterogeneous group of diseases. 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. 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. 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. A case of isolated splenic infarction associated with a foramen ovale. However, identification of the cause of infarction is essential. Splenic infarct is an incredibly rare diagnosis for abdominal pain. The infarct may be segmental, or it may be global, involving the entire organ. Four cases of splenic infarction andor splenic vein thrombosis were identified 4 males, average age of 45 years, range from 38 to 52 years.
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