Splenic infarction

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

A case of hairy-cell leukemia complaining of left upper abdominal pain.

Patient Data

Age: 50 years
Gender: Male
Ultrasound

The spleen demonstrates evidence of splenomegaly (about 18 cm in bipolar diameter) and a peripheral hypoechoic area in its inferior pole, predominantly wedge-shaped region, with no blood flow was seen within, in keeping with splenic infarction.

Case Discussion

This patient is known to have leukemia, who is at high risk of splenic infarction having severe left upper abdominal pain and the referring physician also suspected splenic infarction.

The spleen demonstrated the classic ultrasound appearance of a splenic infarction: a hypoechoic, wedge-shaped defect and devoid blood within it. There was no evidence of other causes of the left-sided pain such as pancreatitis or urinary tract pathology.

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Case information

rID: 54258
Published: 3rd Jul 2017
Last edited: 14th Aug 2019
System: Haematology
Inclusion in quiz mode: Included