Presentation
A known case of chronic lymphocytic leukemia ,presented with acute severe left upper quadrant pain.
Patient Data
Ultrasound image showing splenomegaly with the peripheral, subcapsular, irregular hypoechoic area, and containing multiple internal hyperechoic lines/bands (bright band sign).
It shows no internal vascularity by color Doppler study.
Case Discussion
Splenic infarction result from ischemia to the spleen, it involves either arterial supply, the spleen itself or the venous drainage.
The patient may present with left upper quadrant pain or present with diffuse abdominal pain, some may have other constitutional symptoms like fever and chills.
The classic sonographic features include peripheral, wedge shape hypoechoic area, with a bright band sign, and do not show internal vascularity by color doppler study.
The differential diagnosis includes lymphoma, abscess, and splenic laceration.
The treatment is generally conservative unless complications occurred where a splenectomy was performed.
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