INTRODUCTION Cytomegalovirus-associated thrombosis has been extensively reported in the medical literature, mainly in immune-compromised patients. However, the association with splenic infarcts has been rarely mentioned. CASE PRESENTATION We report the case of a 38-year-old Caucasian man of Hellenic origin with acute cytomegalovirus infection presenting with spontaneous splenic infarcts. Echo...

Background Manual planimetry for quantitative analysis of ejection fraction (EF) and infarct size (IS) on cardiac magnetic resonance (CMR) imaging are too time-consuming, and therefore, impractical in daily clinical practice. We sought to derive and examine the predictive accuracy of a semi-quantitative scoring technique to screen patients with an EF ≤35% or an IS ≥18.5%, known independent pred...

We present what maybe the only case of splenic infarction causing hyperamylasaemia in a patient with bacterial endocarditis. A 49-year-old gentleman presented a 24 hour history of vomiting, abdominal pain and fever. Clinical examination showed diffuse upper abdominal tenderness, a mild tachycardia and a low grade pyrexia. Blood investigations showed a hyperamylasaemia. His failure to improve on...

A 28 year old man presented with haematuria and renal failure. Renal arteriography revealed bleeding into the pelvis of a solitary right kidney from a hilar artery. Multiple aneurysms were noted in the splenic artery. The spleen subsequently ruptured spontaneously and was removed at laparotomy together with the right kidney. Histological examination of the spleen and kidney revealed an acute ne...

Splenic infarcts are rare cases. It may not be noticed in the emergency department because the clinical picture is likely to mimic various acute abdominal pains. The splenic infarct is often the result of systemic thromboembolism associated with cardiovascular disorders. The aim of this study is to present an evaluation of the patients that presented to the emergency department (ED) with abdomi...

We read with great interest the study on the abdominal computed tomography (CT) scan during acute vivax malaria in South Korea by Kim and others. 1 In our recent analysis of 55 cases of pathological rupture on the spleen in malaria, 2 we found that 23 (42%) were caused by Plasmodium vivax . We therefore agree with Kim and others that infection with P. vivax —less prevalent worldwide than Plasmo...

Splenic infarct as complication of sleeve gastrectomy Andrew P. Dhanasopon, B.S., Catherine E. Lewis, M.D., Jessica M. Folek, M.D., Erik P. Dutson, M.D., Amir Mehran, M.D.* University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California Department of Surgery, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California Metabolic...

Comparable failure rates of distal or proximal transcatheter arterial embolization (TAE) techniques for blunt splenic injuries have been reported. This study is to investigate the efficacy and complication of combining both TAE techniques. We included 26 patients of blunt splenic injuries for TAE therapy and randomized them into distal TAE and combined TAE groups. A prospective study was perfor...