Splenic infarction as a complication of celiac artery thromboembolism: an unusual cause of abdominal pain

Abstract

Splenic infarction is a relatively uncommon diagnosis and this clinical presentation can mimic other causes of acute abdominal pain. Cardiologic and hematologic disorders are common reasons for this entity. There have been a few series and single case reports of splenic infarction published in peer-reviewed medical journals. We report a 53-year-old patient who had splenic infarction caused by celiac artery thromboembolism. The importance of this case, without any etiological predisposing factors, is that this kind of clinical situation should be considered in the differential diagnosis of abdominal pain.

Ischemic Necrosis of the Gastric Remnant without Splenic Infarction Following Subtotal Gastrectomy

“…Furthermore, he related a positive history of iron-deficiency anemia with a serum hemoglobin level of 8.0 g/dL, and a relationship between anemia and ischemic vascular disease has also been widely described [ 9 , 10 ]. Although this has not yet been well studied, a few published case reports have described arteriosclerosis- related splenic infarction [ 11 , 12 ]. Additionally, a case report has described a patient with arteriosclerotic vascular disease-related gastric ischemia [ 13 ].…”

Simultaneous occurrence of five prothrombotic induced vaso-occlusive phenomena and focal nodular hyperplasia due to prolonged use of combined oral contraceptive pills

“…The etiological factors are atrial fibrillation, ventricular aneurysm, sickle cell and heart valve diseases. 9 Other causes are: acute pancreatitis, antiphospholipid syndrome, neoplasms, atherosclerosis, oral contraceptive and maladies related with hypercoagulability and surgery. 9 …”

“…Arul et al reported a case of splenic infarction secondary to coeliac artery trunk thrombotic occlusion due to combined oral contraceptive in a 14-year-old girl with no other risk factors of thromboembolism. 9 …”

Spontaneous dissection of celiac trunk with concurrent splenic artery dissection

“…Endovascular interventions consist of insertion of a bare stent or stent graft, fenestration, and transcatheter embolization [ 4 , 10 , 13 , 14 ]. Splenic infarction is uncommon and incidence of splenic infarction due to celiac artery dissection is even rarer [ 15 ]. As in our cases, medical treatment is indicated for cases of splenic infarction with concurrent celiac trunk dissection without any complications.…”

“…As in our cases, medical treatment is indicated for cases of splenic infarction with concurrent celiac trunk dissection without any complications. However, if there are complications, such as abscesses or rupture, the patient should undergo surgical treatment [ 15 ].…”