Splenic Infarction: Report Of Three Cases Of Atherosclerotic Embolization Originating In The Aorta And Retrospective Study Of 64 Cases
作者:
FrippiatF.,
DonckierJ.,
VandenbosscheP.,
StoffelM.,
BolandB.,
LambertM.,
期刊:
Acta Clinica Belgica
(Taylor Available online 1996)
卷期:
Volume 51,
issue 6
页码: 395-402
ISSN:1784-3286
年代: 1996
DOI:10.1080/22953337.1996.11718537
出版商: Taylor&Francis
数据来源: Taylor
摘要:
SummaryThe authors report 3 cases of thromboembolic splenic infarction due to atherosclerosis of the thoracic aorta and the splenic artery. On this occasion, a retrospective analysis of 64 splenic infarcts showed that, in contrast to the literature, the leading aetiology in our series consisted of haematologic disorders (50%), followed by cardiovascular diseases (29%) and by digestive disorders (20%). Mean age was 58±17 years and 50% of the patients were aged below 60 years. Hospital mortality rate was high (34%) but not directly related to splenic infarction, suggesting that splenic infarction often occurs in the setting of severe underlying diseases. Splenic infarct is part of the differential diagnosis of the left upper quadrant pain and can also mimic renal disorders. Laboratory values may show an inflammatory syndrome and an increase in serum lactate deshydrogenase. Diagnosis is often made by CT scan and can be confirmed by a selective spleen scintigraphy. Transocsophageal echocardiography is essential in the detection of cardiac and thoracic aorta embolic material.
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