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Infarcted splenule--a case report.

Ari I Jonisch1, Horacio Hojman, Heather Yeo

  • 1Department of Diagnostic Imaging, Yale New Haven Hospital, New Haven, CT 06510, USA. ajonisch@yahoo.com

Emergency Radiology
|March 3, 2007
PubMed
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An infarcted splenule, a rare cause of abdominal pain, was diagnosed in a 38-year-old woman. Imaging and pathology confirmed the diagnosis, highlighting the need for awareness of this condition for potential non-surgical management.

Area of Science:

  • Radiology
  • Pathology
  • Abdominal Surgery

Background:

  • Splenules are accessory splenic tissue fragments. Infarction of a splenule is a rare event, often presenting with non-specific abdominal symptoms.
  • Abdominal pain, particularly left upper quadrant pain, can arise from various intra-abdominal pathologies, necessitating accurate diagnostic approaches.

Observation:

  • A 38-year-old woman presented with acute abdominal pain and left shoulder pain, suggestive of diaphragmatic irritation.
  • Computed tomography (CT) revealed a rounded soft tissue density in the splenic region with surrounding inflammatory stranding, initially interpreted as an infarcted splenule.

Findings:

  • Laparoscopic exploration confirmed the presence of an infarcted splenule.
  • Histopathological examination verified the diagnosis of splenic infarction within the accessory splenic tissue.

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Implications:

  • Recognizing the imaging characteristics of an infarcted splenule is crucial for accurate diagnosis and avoiding unnecessary surgical intervention.
  • This rare condition can mimic more common causes of abdominal pain, emphasizing the importance of considering accessory spleen pathology.
  • Awareness of infarcted splenules may lead to non-surgical management in appropriate clinical scenarios, improving patient outcomes.