Olgu Sunumu

Splenic infarction as a rare cause of abdominal pain in older adults: A case report

19 Nisan 2021
  • Ayşe Daylan *
  • Sevnaz Şahin
  • Selahattin Fehmi Akçiçek
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Splenic infarction as a rare cause of abdominal pain in older adults: A case report

Öz

Spontaneous splenic infarction has been rarely reported within aged population. The diagnosis of the condition is based on clinical findings and splenic imaging. In recent years, ultrasonography and computed tomographic scan have gained in popularity for the diagnosis of splenic infarction. Most reported cases are focal infarctions, and treatment is mostly conservative. We described the case of a 82-year-old female with cured breast cancer, paroxysmal atrial fibrillation, hypertension who had left upper quadrant pain within 15 days. Physical examination on admission revealed a palpable splenomegaly. Abdominal computed tomography scan showed many subcapsular infarct zones of the spleen measuring 16 cm in length and 4.5 cm conglomerate lymphadenopathies within periportal region. Doppler ultrasound revealed wedge-shaped heterogeneous hypoechoic avascular areas and lymphadenopathies. After laboratory tests, the underlying cause was found as marginal zone lymphoma. The patient was treated with conservative management and chemotherapy was planned for specific cause. Splenic infarction must be kept in mind for older patients with underlying comorbidities presenting with acute left upper quadrant pain.

Anahtar Kelimeler

Kaynakça

  1. Lyon C, Clark DC. Diagnosis of acute abdominal pain in older patients. Am Fam Physician 2006; 74 (9): 1537-44.
  2. Lawrence YR, Pokroy R, Berlowitz D, Aharoni D, Hain D, Breuer GS. Splenic infarction: an update on William Osler's observations. Isr Med Assoc J 2010; 12 (6): 362-5.
  3. Spangler R, Van Pham T, Khoujah D, Martinez JP. Abdominal emergencies in the geriatric patient. Int J Emerg Med 2014; 7: 43.
  4. Nores M, Phillips EH, Morgenstern L, Hiatt JR. The clinical spectrum of splenic infarction. Am Surg 1998; 64 (2): 182-8.
  5. Antopolsky M, Hiller N, Salameh S, Goldshtein B, Stalnikowicz R. Splenic infarction: 10 years of experience. Am J Emerg Med 2009; 27 (3) :262-5.
  6. Vancauwenberghe T, Snoeckx A, Vanbeckevoort D, Dymarkowski S, Vanhoenacker FM. Imaging of the spleen: what the clinician needs to know. Singapore Med J 2015; 56 (3): 133-44.
  7. Chapman J, Helm TA, Kahwaji CI. Splenic Infarcts. [Updated 2020 Aug 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430902/
  8. Jaroch MT, Broughan TA, Hermann RE. The natural history of splenic infarction. Surgery 1986; 100 (4): 743-50.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Ayşe Daylan *
0000-0001-6277-3728
Türkiye

Sevnaz Şahin
0000-0001-5457-901X
Türkiye

Selahattin Fehmi Akçiçek
0000-0003-2583-4709
Türkiye

Yayımlanma Tarihi

19 Nisan 2021

Gönderilme Tarihi

18 Ocak 2021

Kabul Tarihi

15 Mart 2021

Yayımlandığı Sayı

Yıl 2021

DOI

https://doi.org/10.19161/etd.915695

IZ

https://izlik.org/JA47AD29EU

Kaynak Göster

RIS / Bibtex
APA
Daylan, A., Şahin, S., & Akçiçek, S. F. (2021). Splenic infarction as a rare cause of abdominal pain in older adults: A case report. Ege Tıp Dergisi, 70-73. https://doi.org/10.19161/etd.915695
AMA
1.Daylan A, Şahin S, Akçiçek SF. Splenic infarction as a rare cause of abdominal pain in older adults: A case report. ETD. Published online 01 Nisan 2021:70-73. doi:10.19161/etd.915695
Chicago
Daylan, Ayşe, Sevnaz Şahin, ve Selahattin Fehmi Akçiçek. 2021. “Splenic infarction as a rare cause of abdominal pain in older adults: A case report”. Ege Tıp Dergisi, Nisan 1, 70-73. https://doi.org/10.19161/etd.915695.
EndNote
Daylan A, Şahin S, Akçiçek SF (01 Nisan 2021) Splenic infarction as a rare cause of abdominal pain in older adults: A case report. Ege Tıp Dergisi 70–73.
IEEE
[1]A. Daylan, S. Şahin, ve S. F. Akçiçek, “Splenic infarction as a rare cause of abdominal pain in older adults: A case report”, ETD, ss. 70–73, Nis. 2021, doi: 10.19161/etd.915695.
ISNAD
Daylan, Ayşe - Şahin, Sevnaz - Akçiçek, Selahattin Fehmi. “Splenic infarction as a rare cause of abdominal pain in older adults: A case report”. Ege Tıp Dergisi. 01 Nisan 2021. 70-73. https://doi.org/10.19161/etd.915695.
JAMA
1.Daylan A, Şahin S, Akçiçek SF. Splenic infarction as a rare cause of abdominal pain in older adults: A case report. ETD. 2021;:70–73.
MLA
Daylan, Ayşe, vd. “Splenic infarction as a rare cause of abdominal pain in older adults: A case report”. Ege Tıp Dergisi, Nisan 2021, ss. 70-73, doi:10.19161/etd.915695.
Vancouver
1.Ayşe Daylan, Sevnaz Şahin, Selahattin Fehmi Akçiçek. Splenic infarction as a rare cause of abdominal pain in older adults: A case report. ETD. 01 Nisan 2021;70-3. doi:10.19161/etd.915695

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