Department of Internal Medicine, Jefferson Health-Abington, PA, USA.
Department of Pulmonary and Critical Care, Thomas Jefferson University, Philadelphia, PA, USA.
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221103384. doi: 10.1177/23247096221103384.
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.
脾梗死是腹痛的一种不常见原因。本文报告了一例以严重腹痛、恶心和全身无力为表现的孤立性脾梗死。腹部和骨盆 CT 增强扫描显示整个下极有多处脾梗死，脾动脉分支闭塞，而腹部 CT 平扫未见异常。病因后来被确定为房颤继发的血栓栓塞。给予抗凝治疗。据我们所知，这是文献中报道的第二个以房颤（AF）首发表现的脾梗死病例。
