Splenic infarct - liquefaction

Case contributed by Dr Bruno Di Muzio

Presentation

Nonspecific upper abdominal pain. Lactate elevated on blood tests.

Patient Data

Age: 70-year-old
Gender: Male

CT Abdomen and pelvis (selected images)

Modality: CT

On these portal vein images, the spleen shows to be heterogeneously hypoperfused.

Modality: Ultrasound

The spleen has heterogeneous echogenicity with an irregular contour in its upper posterolateral aspect with anechoic fluid in between these irregularities and the left diaphragm. A small pleural effusion is also noted on the left. Free fluid within the abdomen.

Case Discussion

This patient had CPK and LDH elevated. CT raised the suspicion for a perfusional disturbance involving the spleen, ultrasound 4 days later demonstrated heterogeneous echogenicity and irregular margins associated with subphrenic fluid. Features that are in keeping with splenic infarct with liquefaction. 

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Case Information

rID: 45031
Case created: 12th May 2016
Last edited: 12th May 2016
Inclusion in quiz mode: Excluded

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