| 摘要 |
Splenic infarction is an uncommon condition, and it is difficult diagnose the early
stage of this disease. Most of these cases have obvious underlying etiologies, and these
etiologies may provide the clues to their diagnoses. We present a case of idiopathic
splenic infarction. A 40-year-old male was admitted because of fever and chills for 4
days. The abdominal computed tomography (CT) showed splenic infarction. Studies
including blood culture, echocardiography and rheumatoid factor, were negative.
Medical treatment was given first, but the symptoms did not improve. And the magnetic
resonance imaging (MRI) revealed increased infarction areas. After failure of
medical treatment, hand-assisted laparoscopic splenectomy was performed. Multiple
infarction areas with abscess were seen in the specimen, and the culture of this
abscess was negative. The post-operative course was smooth and the patient
recovered well. We also review the medical literature. Precise diagnosis with adequate
timing of surgical intervention will provide better prognosis for splenic infarction. |
