SPLENIC INFARCTION

Citation
J. Cuquerella et al., SPLENIC INFARCTION, Revista espanola de enfermedades digestivas, 88(6), 1996, pp. 447-449
Citations number
14
Categorie Soggetti
Gastroenterology & Hepatology
ISSN journal
11300108
Volume
88
Issue
6
Year of publication
1996
Pages
447 - 449
Database
ISI
SICI code
1130-0108(1996)88:6<447:SI>2.0.ZU;2-#
Abstract
A 53-year-old male suffered splenic infarction etiologically related t o atrial fibrillation and non-obstructive hypertrophic cardiomyopathy. The main clinical manifestations were a one-month history of epigastr ic and left upper quadrant pain, with tenderness to palpation in the l ater zone. Laboratory tests revealed a slight leucocytosis (14.700) wi th left shift and a marked increase in LDH concentration (945 IU), Abd ominal CAT and arteriography established the diagnosis, Echography pro ved normal. Patient evolution was satisfactory with conservative medic al treatment. We conclude that splenic infarction should be considered in all cases of acute or chronic pain in the left hypochondrium. The diagnosis is established by CAT, arteriography and hepatosplenic gamma graphy. Medical management is initially advocated, surgery being reser ved for those cases involving complications or in which diagnosis is n ot clear, Emphasis is placed on the main etiological, clinical, diagno stic and management characteristics of splenic infarction.