Document Detail

Splenic infarction: 10 years of experience.
MedLine Citation:
PMID:  19328367     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to study the clinical presentation of splenic infarction. METHODS: A retrospective examination of files during a 10-year period was conducted. Only computed tomography-proven diagnoses of splenic infarction were included. Signs, symptoms, medical history, and results of investigation were recorded. RESULTS: We found 49 episodes of acute splenic infarction. Abdominal or left flank pain was the most common symptoms (80%), and left upper quadrant tenderness was the most common sign (35%). Splenic infarction was the presenting symptom of underlying disease in 16.6% of the patients. Based on the computed tomography results, ultrasound was diagnostic only in 18% of patients. There was no in-hospital mortality or serious complications. DISCUSSION: We present, to the best of our knowledge, the largest series of patients with splenic infarction diagnosed on clinical and radiological grounds. Awareness of the diagnostic possibility of splenic infarction in a patient with unexplained abdominal pain is important because it can be the presenting symptom of potentially fatal diseases.
Meir Antopolsky; Nurit Hiller; Shaden Salameh; Beth Goldshtein; Ruth Stalnikowicz
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  27     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  262-5     Citation Subset:  IM    
Emergency Medicine Department, Hadassah Mount Scopus Hospital, Jerusalem, Israel.
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MeSH Terms
Abdominal Pain / radiography
Acute Disease
Diagnosis, Differential
Flank Pain / radiography
Middle Aged
Retrospective Studies
Risk Factors
Splenic Infarction / radiography*,  therapy
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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