Merims D, Zilberman D, Lupu L, Sikuler E
Dept. of Medicine B, Soroka Medical Center, Beer Sheba.
Harefuah. 1997 Jun 15;132(12):844-6, 911.
Splenic infarction is a rare disorder. The typical clinical presentation is sudden pain in the left upper quadrant of the abdomen, and awareness to this possibility is the major clue for diagnosis. We describe a 49-year-old man with chronic atrial fibrillation and splenomegaly who was treated with anticoagulants. Because of hematuria, the regular dose of anticoagulant therapy was reduced. The hematuria stopped but he complained of sudden onset of pain in the left upper quadrant. Computerized tomography and isotope scan of the spleen confirmed the clinical suspicion of splenic infarction. Treatment with anticoagulants and analgesics was followed by clinical improvement.
脾梗死是一种罕见的疾病。典型的临床表现为左上腹突发疼痛，认识到这种可能性是诊断的主要线索。我们描述了一名49岁患有慢性心房颤动和脾肿大的男性，他接受了抗凝治疗。由于血尿，抗凝治疗的常规剂量减少。血尿停止，但他抱怨左上腹突然疼痛。脾脏的计算机断层扫描和同位素扫描证实了临床怀疑的脾梗死。抗凝剂和镇痛药治疗后临床症状改善。
