A case report of splenic infarction secondary to atherosclerosis of the splenic artery

Hesam Shariati, Mohammad Bakhtiar; Mohammadi, Susan; Shokrzadeh, Naser

doi:10.61186/rabms.10.3.251

Volume 10, Issue 3 (7-2024) Journal of Research in Applied and Basic Medical Sciences 2024, 10(3): 251-255 | Back to browse issues page

‎ 10.61186/rabms.10.3.251

Ethics code: IR.MUK.REC.1399.082.

Mendeley

Zotero

RefWorks

Hesam Shariati M B, Mohammadi S, Shokrzadeh N. A case report of splenic infarction secondary to atherosclerosis of the splenic artery. Journal of Research in Applied and Basic Medical Sciences 2024; 10 (3) :251-255
URL: http://ijrabms.umsu.ac.ir/article-1-318-en.html

A case report of splenic infarction secondary to atherosclerosis of the splenic artery

Mohammad Bakhtiar Hesam Shariati

, Susan Mohammadi

, Naser Shokrzadeh ^*

Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran , shokrzadeh.n@umsu.ac.ir

Abstract: (299 Views)

Splenic infarcts are uncommon and may not be readily considered in the emergency department, as the clinical presentation often mimics acute abdominal pain. While atherosclerotic damage commonly occurs at the abdominal aorta and its branching parts**, it can also affect the splenic artery, potentially leading to splenic infarction. Although it is widely acknowledged that the abdominal aorta and its branches are the most common sites for atherosclerotic damage, atherosclerosis of the splenic artery can also be an etiological factor for splenic infarction, leading to impaired blood flow in the spleen. Splenic infarction represents a clinical scenario that is not frequently encountered, and its presentation can resemble other causes of acute abdominal pain. This case report describes a patient who presented to the emergency department (ED) with abdominal pain and was subsequently diagnosed with splenic infarction secondary to atherosclerosis of the splenic artery.

Keywords: Abdominal Pain, Atherosclerotic, Case Report, Splenic Infarction

Full-Text [PDF 638 kb] (136 Downloads)

Type of Study: case report | Subject: Medical Imaging

References

1. Libby P. The pathogenesis, prevention, and treatment of atherosclerosis. Harrison's principles of internal medicine 17th ed New York: McGraw-Hill. 2008:1501-9. [URL]

2. Järvinen O, Laurikka J, Sisto T, Salenius J-P, Tarkka MR, Lindholm TS. Atherosclerosis in the abdominal aorta and its visceral branches: associations with other manifestations of atherosclerosis in an autopsy study. Int J Angiology 1996;5(1):41-4. [DOI:10.1007/BF02043463]

3. Derrick JR, Pollard HS, Moore RM. The pattern of arteriosclerotic narrowing of the celiac and superior mesenteric arteries. Ann Surg 1959;149(5):684. [DOI:10.1097/00000658-195905000-00009] [PMID] []

4. Dick A, Graff R, Gregg D, Peters N, Sarner M. An arteriographic study of mesenteric arterial disease. I. Large vessel changes. Gut 1967;8(3):206. [DOI:10.1136/gut.8.3.206] [PMID] []

5. Dahlberg PJ, Frecentese DF, Cogbill TH. Cholesterol embolism: experience with 22 histologically proven cases. Surgery 1989;105(6):737-46. [GOOGLE SCHOLAR]

6. Ozakin E, Cetinkaya O, Kaya FB, Nurdan A, Cevik AA. A rare cause of acute abdominal pain: splenic infarct (case series). Turk J Emerg Med 2015;15(2):96-9. [DOI:10.5505/1304.7361.2014.16769]

7. Mortazavi A, Joudi M, Zabolinejad N, Aelami M, Farhangi H. Massive Splenic Infarction with Specific Sonographic Feature: Two Case Reports with Rare Etiologies. J Clin Gastroen-terol Treat 2018;4:058. [DOI:10.23937/2469-584X/1510058]

8. Ray S, Mridha AR, Ahammed M. Diffuse splenic infarction in a case of severe acute pancreatitis. Am J Surg 2011;201(3):e23-e5. [DOI:10.1016/j.amjsurg.2010.03.020] [PMID]

9. Marston A. Patterns of Intestinal Ischaemia: Arris and Gale Lecture delivered at the Royal College of Surgeons of England on 6th February 1964. Ann R Coll Surg Engl 1964;35(3):151. [GOOGLE SCHOLAR]

10. DeBakey ME, Glaeser DH. Patterns of atherosclerosis: effect of risk factors on recurrence and survival-analysis of 11,890 cases with more than 25-year follow-up. Am J Cardiol 2000;85(9):1045-53. [DOI:10.1016/S0002-9149(00)00694-9] [PMID]

11. DeBakey ME, Lawrie GM, Glaeser DH. Patterns of atherosclerosis and their surgical significance. Ann Surg 1985;201(2):115. [DOI:10.1097/00000658-198502000-00001] [PMID] []

12. Glagov S, Ozoa AK. Significance of the relatively low incidence of atherosclerosis in the pulmonary, renal, and mesenteric arteries. Ann N Y Acad Sci 1968;149(2):940-55. [DOI:10.1111/j.1749-6632.1968.tb53848.x] [PMID]

13. Beşer CG, Karcaaltıncaba M, Çelik H, Başar R. The prevalence and distribution of the atherosclerotic plaques in the abdominal aorta and its branches. Folia Morphol 2016;75(3):364-75. [DOI:10.5603/FM.a2016.0005] [PMID]

14. Roberts JR JC, Moses C, Wilkins RH. Autopsy studies in atherosclerosis: I. Distribution and severity of atherosclerosis in patients dying without morphologic evidence of atherosclerotic catastrophe. Circulation 1959;20(4):511-9. [DOI:10.1161/01.CIR.20.4.520]

15. Wilkins RH, Roberts JR JC, Moses C. Autopsy Studies in Atherosclerosis: III. Distribution and Severity of Atherosclerosis in the Presence of Obesity, Hypertension, Nephrosclerosis, and Rheumatic Heart Disease. Circulation 1959;20(4):527-36. [DOI:10.1161/01.CIR.20.4.527]

16. Van Bockel JH, Geelkerken RH, Wasser MN. Chronic splanchnic ischaemia. Best Pract Res Clin Gastroenterol 2001;15(1):99-119. [DOI:10.1053/bega.2001.0158] [PMID]

17. Levy AD. Mesenteric ischemia. Radiol Clin North Am 2007;45(3):593-9. [DOI:10.1016/j.rcl.2007.04.012] [PMID]

18. De Schepper A, Vanhoenacker F, de Beeck BO, Gielen J, Parizel P. Vascular pathology of the spleen, part II. Abdom Imaging 2005;30(2):228-38. [DOI:10.1007/s00261-004-0267-3] [PMID]

19. Jaroch M, Broughan T, Hermann R. The natural history of splenic infarction. Surgery 1986;100(4):743-50. [GOOGLE SCHOLAR]

20. Ring A, Stein E, Stern J. Splenic Infarct-An Unusual Complication Of Gastrectomy. J Surgery 2008;21(1). [DOI:10.5580/1f6a]

21. Nores M, Phillips EH, Morgenstern L, Hiatt JR. The clinical spectrum of splenic infarction. Am Surgeon 1998;64(2):182. [GOOGLE SCHOLAR]

22. 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. [DOI:10.1016/j.ajem.2008.02.014] [PMID]