A 48 year-old man was referred to emergency ward because of pain on the left side of the abdomen and low-grade fever, triggered by moderate physical exercise. He smoked 20 cig./day but denied hypertension, diabetes or dislipidemia. Physical examination was unremarkable. Serum biochemistry showed total cholesterol 255 mg/dL, LDL cholesterol 167 mg/dL, HDL cholesterol 35 mg/dL and triglycerides 2...

Wandering spleen is a rare clinical condition characterized by ectopic position of the spleen due to abnormal peritoneal attachments including the lienorenal and gastrosplenic ligaments (1). Wandering spleen and intestinal malrotation share a common cause: the absence of an intraperitoneal visceral ligament (2). Wandering spleen presents a wide range of clinical manifestations, from incidental ...

A 41-year-old African American female with a history of alcoholism in remission developed acute vomiting, chills, and severe left upper quadrant abdominal pain while climbing Mt. Fuji (Shizuoka Prefecture, Japan). She presented to a Japanese hospital and was diagnosed with cholelithiasis. The studies obtained are unknown and were unavailable. She presented two days later to a military emergency...

Extension of primary lung tumors into the left atrium via pulmonary veins is a well-documented phenomenon. Peripheral arterial embolism and cerebral embolism originating from a primary lung neoplasm are rare events. We report a case of simultaneous acute bilateral lower limb ischemia, bilateral renal infarction, splenic infarction and cerebral infarction as a result of multiple emboli originati...

Dear Editor, Splenic infarction is a rare cause of acute abdominal pain that can occur in a variety of settings including both malignant (e.g. myelofibrosis, lymphoma and leukemia) and benign hematological disorders (e.g. sickle cell hemoglobinopathies, polycythemia vera and hypercoagulable states)1. Embolic disease (e.g. atrial fibrillation, infective endocarditis, valvular disease, valve repl...