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splenic infarction
Etiology:
predisposing comorbidities
- cardioembolism (25%)
- celiac artery or splenic artery atherosclerosis
- cancer (20%)
- sepsis (17%)
- abdominal inflammation or abdominal infection (16%)
- hypercoagulable state not due to cancer
- hypotension not due to sepsis
- sickle cell disease
- trauma
- cirrhosis
Pathology:
- splenic artery or branch occlusion
- splenic artery thromobosis
Clinical manifestations:
- left upper quadrant pain (20%)
- left flank pain
- abdominal pain elsewhere (47%)
- 30% without abdominal pain
Management:
- most splenic infarcts do not require surgical intervention [2]
- surgical indications [2]
- sepsis
- splenic abscess
- hemorrhage
- persistent pseudocyst formation
- surgical procedures: splenectomy
Related
asplenism
spleen
General
infarction
References
- Brett AS et al.
Assessment of clinical conditions associated with splenic infarction
in adult patients.
JAMA Intern Med 2020 Jul 13; 180:1125
PMID: 32658244 PMCID: PMC7358974 Free PMC article
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768355
- Parikh M, Geibel J
Splenic Infarct Treatment & Management.
Mescape. July 27, 2020
https://emedicine.medscape.com/article/193718-treatment