A Rare Cause of Acute Abdominal Pain: Spelnic İnfarct (Case Series)

Özakın, Engin; Cetinkaya, Osman; Kaya, Filiz Baloğlu; Acar, Nurdan; Çevik, Arif Alper

doi:10.5505/1304.7361.2014.16769

Cited by 13 publications

(16 citation statements)

References 9 publications

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“…These symptoms were observed in all patients, for whom medical treatment was insufficient, during the first application to hospital and in 11 patients (85%) -except two patients-during clinical follow-up. In the literature, it has been reported that leukocyte count might be high in half of patients (7). High leukocyte count in all patients, except one (92%), may be due to the fact that the group consisted of advanced-stage and abscess-complicated patients.…”

Section: Discussionmentioning

confidence: 83%

“…Patients diagnosed with splenic infarct should be hospitalized and closely monitored. Patients, who do not present poor general condition or sepsis symptoms, are usually successfully treated with medical treatment that combines hydration, oxygen support and analgesia (7). 20% of patients with splenic infarct may develop complications such as splenic abscess, hemorrhage, rupture and pseuodocyst formation, which may require drainage or surgery (1).…”

Section: Discussionmentioning

confidence: 99%

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Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases

Karabacak¹,

Tamam²,

Balas³

et al. 2019

Haseki

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Splenic infarction is a rare condition successfully treated with medical methods in general. The aim of this study was to evaluate the invasive treatment options in patients with splenic infarction-associated abscess. Methods: Files of thirteen patients, who underwent percutaneous drainage or a surgical procedure due to abscess as a result of splenic infarction, were retrospectively reviewed. Age symptoms, results of physical and radiological examinations and therapeutic methods were analyzed. Results: A total of 13 patients with the mean age of 56±18 years were included in the study. Seven (54%) patients were female and six (46%) were male. Acute abdomen was observed in 11 patients (85%), and acute abdomen as well as high white blood cell (WBC) count (>15000/mL) in nine patients (70%). Percutaneous drainage was performed in five patients (39%) and splenectomy in eight patients (62%), all of whom were diagnosed with splenic abscess by means of computed tomography. There was no difference in age, gender, acute abdomen, WBC count, platelet count and mortality between patients who underwent splenectomy and percutaneous drainage group, whereas in the splenectomy group, the number of associated diseases was higher and the length of hospital stay was longer (p=0.017 and p=0.011, respectively). Conclusion: Percutaneous drainage and, when necessary, splenectomy should be performed in patients who develop abscess as a result of splenic infarct, whose general health conditions deteriorates and whose symptoms do not improve and who have high WBC count despite medical treatment.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases

Karabacak¹,

Tamam²,

Balas³

et al. 2019

Haseki

View full text Add to dashboard Cite

show abstract

“…Splenic infarction is a rare and overlooked cause of abdominal pain [8]. It can be caused by thromboembolism, secondary to cardiovascular disease, or hypercoagulable state.…”

Section: Discussionmentioning

confidence: 99%

Splenic Infarct Secondary to High Altitude Exposure in Sickle Cell Trait Patients: A Case Series

González

Shapiro

Tafur

et al. 2020

Cureus

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The sickle cell trait is considered a benign entity that generally does not show clinical manifestations. However, some complications have been described under certain conditions, such as a decrease in oxygen level, dehydration, and strenuous physical efforts. Among them, splenic infarct is a rare complication that presents as left upper abdominal pain in a situation of stress such as high altitude exposure. We present two cases of splenic infarcts in patients with undiagnosed sickle cell trait who showed to our institution with severe abdominal pain after coming from high altitude cities.

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“…The pathophysiology of splenic infarct from lymphoma is tissue necrosis and parenchymal ischemia [4] due to autoinfarction. The two primary causes of autoinfarction include rapid growth of the spleen leading to a loss of blood supply from branches of the splenic artery and venous congestion due to abnormal cells [5].…”

Section: Discussionmentioning

confidence: 99%

Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen

Williams

Ima

Milrod

et al. 2018

Journal of Community Hospital Internal Medicine Perspectives

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Splenic infarct is an incredibly rare diagnosis for abdominal pain. One study involving two hospitals over ten years describes only 0.0037% of all hospital admissions presenting with splenic infarction. Our report describes a case of massive splenomegaly causing pain in a different location compared to the normal anatomical location of the spleen with an unexpected cause, lymphoma. High clinical suspicion for lymphoma as a cause of splenic infarction is critical because this disease can otherwise be clinically silent. This case emphasizes the importance of a thorough clinical workup and persistence in diagnostic pursuit.

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A Rare Cause of Acute Abdominal Pain: Spelnic İnfarct (Case Series)

Cited by 13 publications

References 9 publications

Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases

Invasive Management of Abscess Due to Splenic Infarct: A Retrospective Analysis of Thirteen Cases

Splenic Infarct Secondary to High Altitude Exposure in Sickle Cell Trait Patients: A Case Series

Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen

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