Isolated Splenic Infarction: An Initial Manifestation of Postoperative Atrial Fibrillation

Abstract

Splenic infarction is an uncommon cause of abdominal pain. In this article, we present a case of isolated splenic infarction presenting with severe abdominal pain, nausea, and with associated generalized weakness. Computed tomography (CT) abdomen and pelvis with contrast revealed multiple splenic infarctions of the entire lower pole with occlusion of the branch splenic arteries, while CT abdomen without contrast was unremarkable. Etiology was later revealed to be thromboembolism secondary to atrial fibrillation. It was managed with anticoagulation. To our knowledge, this is the second case of splenic infarction presenting as an initial manifestation of atrial fibrillation (AF), reported in the literature.

Pulmonary Thromboembolism and Splenic Infarction in a Patient with Chronic Atrial Fibrillation: A Case Report

“…Эти препараты стабилизируют уже образовавшиеся тромбы в сосудах большого круга кровообращения и предотвращают появление эмболов в ветвях легочной артерии. Ключевые слова: мерцательная аритмия, инфаркт селезенки, тромбоэмболия легочной артерии, компьютерная томография с контрастированием _________________________________________________________________________________________________  INTRODUCTION Splenic infarction (SI) is a rare condition that occurs due to reduced blood supply to the organ, resulting in tissue ischemia and eventual necrosis [1,2]. Cardioembolism and identifi able hypercoagulable states have been considered to be the cause of most splenic infarctions [3].…”