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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Acute complete splenic infarction secondary to COVID-19 infection
Uzair Javaid1, Peter Young1, Gunvir Gill1
1Department of Radiology, University of Texas Medical Branch, Galveston, TX, 77555, USA.
Insights
Splenic infarction, a rare complication in COVID-19 patients, can cause abdominal pain. This case highlights splenic artery thrombosis and emphasizes considering this diagnosis in affected individuals.
Area of Science:
- Medicine
- Radiology
- Infectious Diseases
Background:
- COVID-19 is associated with an increased risk of thrombotic events, sometimes in unusual locations.
- Splenic infarction is a rare but serious complication that can occur in patients with COVID-19.
Observation:
- This report details a case of symptomatic complete splenic infarction in a COVID-19 patient.
- The infarction was attributed to thrombosis in the splenic artery.
Findings:
- Contrast-enhanced Computed Tomography (CT) is crucial for diagnosing splenic infarction, typically showing peripheral, wedge-shaped hypo-enhancements.
- CT angiography aids in evaluating the splenic arteries and confirming thrombosis.
Implications:
- Physicians should consider splenic infarction in COVID-19 patients presenting with abdominal pain.
- Management focuses on addressing the underlying cause, including supportive care for COVID-19 and its thrombotic complications.
Abstract:
Splenic infarction in COVID-19 patients is a rare entity with few documented cases. We report a case of symptomatic complete splenic infarction and discuss COVID-19 related thrombosis, splenic infarction, diagnostic imaging for splenic infarction, and the management. Thrombotic events related to COVID-19 have been reported in unusual locations, and our case highlights an example of one such location, the splenic artery. Contrast enhanced Computed Tomography (CT) is the standard diagnostic modality and will typically reveal foci of hypo-enhancement, peripheral and wedge-shaped. CT angiography can be performed to evaluate the arteries and diagnose thrombosis. The primary treatment is aimed at addressing the underlying cause and includes supportive care. It is important that physicians consider splenic infarction as an explanation for abdominal pain in COVID-19 patients.
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