Multiple abdominal viscera thromboembolic infarcts

Presentation

Abdominal pain.

Patient Data

Age: 45 years
Gender: Female

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

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Case information

rID: 57067
Case created: 5th Dec 2017
Last edited: 7th Dec 2017
Inclusion in quiz mode: Included
Institution: Assiut university

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