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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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[Embolic splenic infarction: a rare complication of atrial fibrillation]

D Merims1, D Zilberman, L Lupu

  • 1Dept. of Medicine B, Soroka Medical Center, Beer Sheba.

Harefuah
|June 15, 1997
PubMed

Splenic infarction is a rare disorder. The typical clinical presentation is sudden pain in the left upper quadrant of the abdomen, and awareness to this possibility is the major clue for diagnosis. We describe a 49-year-old man with chronic atrial fibrillation and splenomegaly who was treated with anticoagulants. Because of hematuria, the regular dose of anticoagulant therapy was reduced. The hematuria stopped but he complained of sudden onset of pain in the left upper quadrant. Computerized tomography and isotope scan of the spleen confirmed the clinical suspicion of splenic infarction. Treatment with anticoagulants and analgesics was followed by clinical improvement.

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