Splenic infarction

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Background

  • Occlusion (clot or infection) of splenic artery or one or more of its sub-branches

Causes

Clinical Features[1]

Differential Diagnosis

  1. Gastritis/gastric ulcer
  2. Herpes Zoster
  3. Pancreatitis
  4. Splenic rupture/distension
  5. Splenic Infarction
  6. Myocardial Ischemia
  7. Pneumonia
  8. Pulmonary Embolism

Workup

  • Abdominal CTA

Management

  • Treat underlying cause
    • Simple cases may require only pain medication
    • Complicated cases may require surgical intervention

Disposition

  • Depends on underlying cause

See Also

References

  1. 48.Lawrence YR, Pokroy R, Berlowitz D, et al. Splenic infarction: an update on William Osler's observations. Isr Med Assoc J 2010; 12:362.