Massive splenic infarction in a patient with acute calculous cholecystitis: a case report and literature review

Alaa Sedik; Ahmed Fathi; Mufid Maali; Salwa Elhoushy; Shima Morsy

doi:10.18203/2349-2902.isj20193352

Authors

Alaa Sedik Department of Surgery, King Khalid Hospital Hail, KSA http://orcid.org/0000-0002-8815-2337
Ahmed Fathi Department of Surgery, King Khalid Hospital Hail, KSA
Mufid Maali Department of Surgery, King Khalid Hospital Hail, KSA
Salwa Elhoushy Department of Endocrinology, King Khalid Hospital Hail, KSA
Shima Morsy Department of Hematology, King Khalid Hospital Hail, KSA

DOI:

https://doi.org/10.18203/2349-2902.isj20193352

Keywords:

Massive splenic infarction, Spontaneous, Splenectomy

Abstract

Massive splenic infarction (MSI) is a rare cause of acute abdominal pain and is attributed to compromised blood flow to more than half of the spleen. It may be due to hematological, non-hematological, or rarely spontaneous. Symptoms and signs are non-specific. Diagnosis is based mainly on radiological investigations. The treatment is splenectomy if complications occur. We reported a case of a 50-year-Saudi lady, who was presented with a picture of acute calculous cholecystitis that was treated conservatively. Then 48 hours later, pain improved significantly, then shortly she suddenly developed a left upper quadrant pain. Computerized tomography of the abdomen diagnosed the situation as MSI. She underwent open cholecystectomy and splenectomy as conservative treatment failed and she developed a splenic abscess. She made uneventful recovery and discharged in a good condition. Hematological, cardiology, and rheumatology services diagnosed the situation as a spontaneous MSI. She was seen in surgery outpatient free of complaints.

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