Edit concept Question Editor Create issue ticket

Splenic Artery Embolism


Presentation

  • A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department.[books.google.com]
  • We present a patient with celiac artery thromboembolism resulting in splenic infarction.[synapse.koreamed.org]
  • The most frequent clinical presentation is embolism of the limbs, with a certain predilection for the left arm. 7 This clinical presentation was seen in patient 1 of the present study, although the affected limb was the right arm.[revespcardiol.org]
  • Case presentation A 28 year old female presented 9 weeks after the term delivery of a healthy baby with severe abdominal pain, shortness of breath and headaches.[oatext.com]
Sepsis
  • Significant updating of following topics - acute coronary syndrome management, trauma, sepsis management, imaging, arrhythmias. Expansion of administration section - especially patient safety. Changes to drug overdose sections in toxicology section.[books.google.com]
  • […] of sepsis in the asplenic patient" .)[uptodate.com]
  • Overwhelming postsplenectomy sepsis: As discussed above, the incidence is unknown. The overall postoperative sepsis rate is high because splenectomy often is undertaken for treatment of splenic abscess.[sc.ehu.es]
  • Tiny bubbles are normal after this procedure, and can be ignored if the patient does not appear ill and does not have any systemic evidence of inflammation or sepsis.[regionstraumapro.com]
  • Shock (sepsis, haemorrhage, hypovolaemia). Trauma. Strangulated hernia or volvulus.[patient.info]
Physician
  • Modern Medicine introduces recent advanced medical practices performed at the Kure Medical Center and Chugoku Cancer Center (KMCCCC) - one of the leading hospitals in Japan - to those working in the field of medicine throughout the world, including physicians[books.google.com]
  • Elanor Tracy, CA Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR You have been more help than you know.[justanswer.com]
  • Our Approach As a surgery patient, you have access to a multidisciplinary team of physicians, nurses and support staff, led by an experienced pancreatic and biliary physician.[surgery.usc.edu]
  • Meet the Editor Her Hsin Tsai MD FRCP qualified from University of Aberdeen and after serving as a junior physician in Aberdeen and Glasgow was appointed NACC fellow in inflammatory bowel diseases with Prof J.M.[gastrohep.com]
  • Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. The use of this website is governed by the UpToDate Terms of Use 2018 UpToDate, Inc.[uptodate.com]
Aspiration
  • Aspiring medical students can learn more about the latest developments in their field of interest, while patients can learn about treatment options available for different diseases.[books.google.com]
  • Percutaneous vascular intervention in acute mesenteric artery occlusion is often successful and may involve a combination of thrombus aspiration, thrombolysis and arterial stenting 5 .[radiopaedia.org]
  • Infectious Complications of Injecting Drugs 2 HIV infection: Acute, AIDS Bloodborne hepatitis: C and B Skin and subcutaneous tissue infections: Abscess, cellulitis Pneumonia: Typical community pathogens, aspiration, Klebsiella pneumoniae , tuberculosis[ahcmedia.com]
Abdominal Pain
  • Splenic infarction is a relatively uncommon diagnosis and this clinical presentation can mimic other causes of acute abdominal pain.[synapse.koreamed.org]
  • Evaluation of patients who present with abdominal pain requires a broad differential approach. [6] [7] [8] Lab evaluation my help rule in other causes of abdominal pain.[ncbi.nlm.nih.gov]
  • They may become seriously ill and have severe abdominal pain because the superior mesenteric artery supplies a large part of the intestine.[merckmanuals.com]
  • Answer: LV thrombus with splenic thromboembolism This patient’s presentation of sudden onset of severe abdominal pain with hypodense splenic lesions suggests embolic splenic infarction.[ultrasoundoftheweek.com]
  • SMA thrombosis presents with gradual onset of abdominal pain and distension. A history of postprandial abdominal pain and weight loss is present in half of cases.[vasculardiseasemanagement.com]
Vomiting
  • A fifty-three-year-old male patient was admitted to our hospital with upper abdominal pain of sudden onset, which continued for 4-days, with complaints of nausea and vomiting.[synapse.koreamed.org]
  • People who have pain after they eat may also have nausea, vomiting, constipation, or diarrhea.[merckmanuals.com]
  • Other possible signs and symptoms may include the following: ŸVague abdominal pain and nausea/vomiting. ŸCompression symptoms affecting adjacent organs.[newhealthadvisor.com]
  • Hemorrhagic renal infarction due to renal vein thrombosis Signs and Symptoms Flank pain or abdominal pain Hematuria Arterial hypertension Irregular heart rate Nausea, vomiting Oligouria, Anuria Diagnostic Work-Up Urine: Signs for kidney infarction are[urology-textbook.com]
  • […] interventional radiology ________________________________________________ Case Report A 33-year-old female inpatient in a regional hospital developed sudden onset of severe epigastric pain with radiation to the right shoulder tip and associated nausea and vomiting[vasculardiseasemanagement.com]
Nausea
  • A fifty-three-year-old male patient was admitted to our hospital with upper abdominal pain of sudden onset, which continued for 4-days, with complaints of nausea and vomiting.[synapse.koreamed.org]
  • Other possible signs and symptoms may include the following: ŸVague abdominal pain and nausea/vomiting. ŸCompression symptoms affecting adjacent organs.[newhealthadvisor.com]
  • People who have pain after they eat may also have nausea, vomiting, constipation, or diarrhea.[merckmanuals.com]
  • Hemorrhagic renal infarction due to renal vein thrombosis Signs and Symptoms Flank pain or abdominal pain Hematuria Arterial hypertension Irregular heart rate Nausea, vomiting Oligouria, Anuria Diagnostic Work-Up Urine: Signs for kidney infarction are[urology-textbook.com]
  • […] intervention, interventional radiology ________________________________________________ Case Report A 33-year-old female inpatient in a regional hospital developed sudden onset of severe epigastric pain with radiation to the right shoulder tip and associated nausea[vasculardiseasemanagement.com]
Acute Abdomen
  • The importance of this case, without any etiological predisposing factors, is that this kind of clinical situation should be considered in the differential diagnosis of acute abdomen.[synapse.koreamed.org]
  • It has to be differentiated from other causes of acute abdomen. An abdominal CT scan is the most commonly used modality to confirm the diagnosis, although abdominal ultrasound can also contribute.[definitions.net]
  • Presentation [ 10 ] The condition may be difficult to diagnose, with nonspecific symptoms of an 'acute abdomen', such as acute-onset abdominal pain. The pain is most frequently located in the left iliac fossa.[patient.info]
  • Fever and chills develop in some cases. [3] It has to be differentiated from other causes of acute abdomen.[en.wikipedia.org]
  • Differential Diagnosis As with many cases of acute abdomen, there is a wide range of differentials to consider, narrowed down through clinical features and investigations.[teachmesurgery.com]
Left Upper Quadrant Pain
  • Focal splenic infarction may affect the overlying visceral peritoneum resulting in acute left upper quadrant pain particularly on respiration and movement. Causes of splenic infarction : *Sickle cell anaemia. *Leukaemia. *Bacterial endocardites.[medicalechography.com]
  • Patients with a splenic infarction may present with left upper quadrant pain. Some may have constitutional symptoms such as fevers and chills while others may even have diffuse abdominal pain 5,9.[radiopaedia.org]
  • The left upper quadrant pain secondary to splenic capsular distension resolved almost immediately.[oatext.com]
  • upper quadrant pain (33%) and fever and chills (27%). 8 The most common sign for splenic infarction is left upper quadrant tenderness, seen in 35% of patients. 8 Splenomegaly may be present in up to 10% of patients.[thepermanentejournal.org]
  • A patient with metastatic angiosarcoma to the spleen with acute abdominal distention and left upper quadrant pain. The CT (not shown) and ultrasound demonstrated an enlarged, heterogeneous spleen with new large abdominal ascites.[evtoday.com]
Heart Disease
  • Presents comprehensive coverage of valvular heart disease to provide you with a complete reference and one-stop shop for this specialty in cardiac medicine.[books.google.de]
  • Stay on top of the latest advances in molecular imaging, intravascular ultrasound, cardiovascular regeneration and tissue engineering, device therapy for advanced heart failure, atrial fibrillation management, structural heart disease, Chagasic heart[books.google.ro]
  • Risk factors are atrial fibrillation, mitral valve disease, coronary heart disease, heart failure, other heart diseases, cardiac surgery, aortic aneurysm, renal artery aneurysm or renal artery stenosis.[urology-textbook.com]
  • disease rheumatic heart disease mitral valve prolapse valve regurgitation degenerative valve disease prosthetic valve (1-5%) – early ( 60 days) Predisposition to infection IV drug use – tricuspid, aortic and mitral valve haemodialysis high risk surgery[lifeinthefastlane.com]

Workup

  • Routine diagnostic workup of suspected splenic injury includes chest radiographs, abdominal ultrasound, a focused assessment with sonography for trauma (FAST) scan, or CT imaging.[wjes.biomedcentral.com]

Treatment

  • These treatment methods resulted in successful outcome in these patients.[synapse.koreamed.org]
  • Also has boxes featuring controversial areas of treatment. Practical and clinically orientated. Major changes to resuscitation guidelines. Complete rewriting of ENT section.[books.google.com]
  • Aspiring medical students can learn more about the latest developments in their field of interest, while patients can learn about treatment options available for different diseases.[books.google.com]
  • The successful treatment of RA depends, in part, on its cause. For the purpose of this review, we have divided treatment of RA after liver transplant into 2 categories: treatment for vascular causes and treatment for nonvascular causes.[ectrx.org]
  • Thrombocytopenia has been improved and treatment continued using concurrent PSE. In addition, hepatic functional reserve could be maintained even after treatment for HCC.[hrjournal.net]

Prognosis

  • Prognosis The prognosis of splenic infarctions varies enormously , depending on the cause and severity of the disease.[teachmesurgery.com]
  • Treatment and prognosis Mesenteric arterial or venous occlusion can be treated with anticoagulation or thrombolysis, either systemically or locally.[radiopaedia.org]
  • Treatment and prognosis Initial management usually consists of hydration, analgesics, and frequent monitoring, with the resolution of symptoms in 7-14 days. Splenectomy was performed for persistent symptoms or complications.[radiopaedia.org]
  • Concurrent TACE and PSE for HCC with thrombocytopenia can be expected to help maintain hepatic reserve, and it may contribute to improving the prognosis of HCC. Hence, PSE could lead to an asplenic state.[hrjournal.net]

Etiology

  • We present an unusual case of splenic infarction in a 53-year-old male without any etiological factors.[synapse.koreamed.org]
  • Complications Some complications are encountered, more frequently in patients with an embolic etiology.[radiopaedia.org]
  • The frequency of visualized splenic infarcts may be rising because of the following factors: Etiology There are numerous etiologies of splenic infarct.[thehealthscience.com]
  • In our patient, an OCP-associated prothrombotic state was the probable etiology, and thus short-course anticoagulation therapy was recommended.[thepermanentejournal.org]
  • Angiography is indicated when a vascular lesion is suspected as the etiologic cause, as in cases of arterial embolization , or to manage segmental bleeding by embolization .[sc.ehu.es]

Epidemiology

  • Epidemiology This is chiefly a disease of people aged over 50, although younger people with risk factors for mesenteric venous thrombosis (MVT) - eg, atrial fibrillation (AF) - can be affected.[patient.info]
  • […] the cohort. [1] History of the Procedure One of the earliest descriptions of splenic infarct was made in Germany in 1896, after a splenic infarction was seen microscopically following splenectomy for endocarditis (presumably due to septic emboli). [2] Epidemiology[thehealthscience.com]
  • Epidemiology Splenic infarcts are considered a rare cause of abdominal pain although the exact prevalance is unclear.[ncbi.nlm.nih.gov]
  • Epidemiology IE occurs worldwide.[patient.info]
  • Department of Epidemiology & Preventive Medicine, School of Public Health and Preventive Medicine, Alfred Hospital Monash University Melbourne Australia 7. Melbourne Endovascular Cheltenham Australia 8.[link.springer.com]
Sex distribution
Age distribution

Pathophysiology

  • In all these cases the pathophysiological mechanism is the breakdown of blood supply to the spleen resulting from a lesion of the splenic artery [13-15].[ispub.com]
  • A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices . Gastroenterology 126 , 1175–1189 (2004). 3. Takahiro, S. et al .[nature.com]
  • Pathophysiology of septic emboli When discussing the pathophysiology of emboli of cardiac origin, one must consider both non-infective (Libman-Sacks or autoimmune, Marantic or related to wasting illnesses such as cancer) and infective (e.g., bacterial[intechopen.com]
  • A splenic infarct is caused by occlusion of the splenic artery or one of its branches , resulting in tissue necrosis, and is caused by many separate pathophysiological processes.[teachmesurgery.com]
  • The pathophysiology of aortic thrombi is not well -defined.[revespcardiol.org]

Prevention

  • Therapeutic introduction of various substances into the circulation to occlude vessels, either to arrest or prevent hemorrhaging or to devitalize a structure or organ by occluding its blood supply. Synonym(s): embolisation.[medical-dictionary.thefreedictionary.com]
  • ACE inhibitors also prevent conversion of angiotensin I to angiotensin II (a potent vasoconstrictor), thus reducing afterload to help prevent heart failure.[medical-dictionary.thefreedictionary.com]
  • Prevention (Venous) The best prevention is to reverse your risk factors in regard to lifestyle changes. Do not smoke. Develop an exercise program and healthy diet to control your weight.[vascularcenterwf.com]
  • To prevent refluxof embolic material in THAE. the amount of the embolic material should be adjusted according to the vascular flow volume of the liver.[synapse.koreamed.org]
  • Prevention of variceal rebleeding. Lancet 2003;361:952-4. 3. Madoff DC, Denys A, Wallace MJ, Murthy R, Gupta S, Pillsbury EP, et al. Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations and Potential Complications.[saudijgastro.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!