Presentation
Abdominal pain.
Patient Data
Multiple intraluminal abdominal aorta hypoattenuated thrombus seen extending to the celiac trunk and SMA with partial occlusion of their lumens associated with:
Multiple ill-defined areas of non-enhancing low attenuation scattered through the periphery of the liver parenchyma. Background fatty liver with areas of focal fatty sparing adjacent to the gallbladder fossa.
Extensive areas of confluent non-enhancing hypodensity in the spleen, mostly reaching the periphery of the organ, with no gas locules seen in them. The spleen is average sized, The splenic vein appears patent.
Right renal heterogeneous hypoattenuated cortical non-enhancing patches and similar small patch at the lower pole of the left kidney.
Case Discussion
Multiple visceral infarcts involving the liver, spleen, and both kidneys that are likely thromboembolic sequelae in this case