Asymptomatic splenic artery thrombosis with circulatory compensation

Case contributed by Dr Bruno Di Muzio

Presentation

Smoker, dyslipidemia and peripheral arterial disease. Complains of pain in walking, and cooling of the lower extremities.

Patient Data

Age: 59
Gender: Male
Race: Caucasian

Thrombosis of the splenic artery from its emergence from the celiac trunk. The filling of the distal splenic artery is done by collateral circulation coming from ascending branch of left colic artery / inferior mesenteric artery and short gastric arteries / left gastric artery.

The filling of the distal splenic artery is done by collateral circulation coming from ascending branch of left colic artery / inferior mesenteric artery and short gastric arteries / left gastric artery.

Case Discussion

Splenic artery occlusion normally presents with symptoms of splenic infarction. But in the gradual obstruction of arterial disease a slow adaptation enables the collateral arterial branches to overcome the flow.

PlayAdd to Share

Case Information

rID: 19025
Case created: 2nd Aug 2012
Last edited: 1st Sep 2015
System: Vascular
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.