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Updated: Jul 3, 2026
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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Splenic infarction caused by supra-celiac aortic thrombus. Two case reports]
José L Gimenez1, Ruy F e Fernandes, Luis M Pedro
1Clinica Universitária de Cirurgia Vascular do Hospital de Santa Maria, Lisboa.
Summary
Aortic mural thrombus, a rare cause of splenic infarction, can be challenging to diagnose. Surgical removal of aortic thrombus led to successful outcomes in two patients.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Thrombotic Disorders
Background:
- Aortic mural thrombosis is uncommon, with often unknown causes and varied presentations due to embolic events.
- Diagnosis can be challenging due to the variable clinical manifestations and rarity of the condition.
Observation:
- Two women, aged 52 and 41, presented with abdominal and lumbar pain attributed to splenic embolic infarctions.
- CT scans revealed celiac aortic mural thrombi, one described as floating, identified as the source of emboli.
Findings:
- Both patients underwent supraceliac aortic thrombectomy and splenectomy.
- Postoperative recovery was uneventful, with no recurrence observed at 10 months and 9 years follow-up.
Implications:
- This case series highlights the importance of considering aortic mural thrombus in cases of splenic infarction.
- Surgical intervention for aortic mural thrombosis can lead to favorable long-term outcomes.
