Splenic infarction

Case contributed by Dr Hani Salam

Presentation

Known haematological disease, presents with left hypochondrial pain.

Patient Data

Age: 18
Gender: Male
CT

Pre and post contrast axial images through the abdomen demonstrate the spleen to be enlarged and heterogeneous in density with numerous areas of low density which do not enhance. 

The spleen is enlarged, but no enlarged lymph nodes are visible. The liver appears enlarged, but is otherwise normal. Patchy dependent lung changes are present, more so on the right. 

Annotated image

Pre and post contrast axial images through the abdomen demonstrate the spleen to be enlarged and heterogeneous in density with numerous areas of low density which do not enhance (blue arrows), consistent with infarction. 

Case Discussion

This case illustrates typical appearances of splenic infarction in the setting of sickle cell anemia. 

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Case information

rID: 18996
Published: 31st Jul 2012
Last edited: 14th Aug 2019
Tag: spleen
Inclusion in quiz mode: Included

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