Presentation
Nonspecific upper abdominal pain. Lactate elevated on blood tests.
Patient Data
Age: 70 years
Gender: Male
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On these portal vein images, the spleen shows to be heterogeneously hypoperfused.
From the case:
Splenic infarct - liquefaction
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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.