Journals / Black Sea Journal of Health Science / 2022 / Cilt: 5 Sayı: 3

Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department

Nafis Vural(konya ereğli devlet hastanesi)0000-0002-3551-201X
Pages
565–567
Publication Date
2022-09-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The diagnosis of splenic infarction should also be kept in mind in patients presenting to the emergency department with left upper quadrant pain, especially in patients who have recently undergone a surgical operation, have a previous history of thrombotic and vascular disease, and have any malignancy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Splenic infarction is a rare diagnosis in the emergency department and can easily mimic other causes of acute abdomen.
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Key Findings & Data:A 46-year-old male patient was admitted to the emergency department with the complaint of abdominal pain for five day.
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Conclusion & Impact:The diagnosis of splenic infarction should also be kept in mind in patients presenting to the emergency department with left upper quadrant pain, especially in patients who have recently undergone a surgical operation, have a previous history of thrombotic and vascular disease, and have any malignancy.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Splenic infarction · Thyroidectomy · Emergency department

Abstract

Splenic infarction is a rare diagnosis in the emergency department and can easily mimic other causes of acute abdomen. Cardioembolic and hematological disorders, inflammatory (eg pancreatitis) and infectious (eg sepsis) conditions, postoperative conditions, malignant neoplasms and atherosclerosis are some of the risk factors. Papillary thyroid carcinoma is the most common histologic type of differentiated thyroid malignancy and is known as the least aggressive thyroid carcinoma. A 46-year-old male patient was admitted to the emergency department with the complaint of abdominal pain for five day. When the patient's anamnesis was deepened, it was learned that the patient had been operated on 5 days before the papillary thyroid cancer, the abdominal pain started the day after the surgery, and the pain showed an increasing and decreasing course. Contrast-enhanced abdominal CT performed on the patient revealed perfusion defects in the posterior and lateral parts of the spleen. The diagnosis of splenic infarction should also be kept in mind in patients presenting to the emergency department with left upper quadrant pain, especially in patients who have recently undergone a surgical operation, have a previous history of thrombotic and vascular disease, and have any malignancy.

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Cite This Article

Vural, N. (2022). Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. Black Sea Journal of Health Science, Cilt: 5 Sayı: 3, 565–567. https://doi.org/10.19127/bshealthscience.1085422

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References (13)

  1. Antopolsky M, Hiller N, Salameh S, Goldshtein B, Stalnikowicz R. 2009. Splenic infarction: 10 years of experience. Amer J Emer Medic, 27(3): 262-265.
  2. Brett AS, Azizzadeh N, Miller EM, Collins RJ, Seegars MB, Marcus MA. 2020. Assessment of clinical conditions associated with splenic infarction in adult patients. JAMA Int Medic, 180(8): 1125-1128. DOI: 10.1001/JAMAINTERNMED.2020.2168.
  3. Caremani M, Occhini U, Caremani A, Tacconi D, Lapini L, Accorsi A, Mazzarelli C. 2013. Focal splenic lesions: US findings. J Ultrasound, 16(2): 65–74. DOI: 10.1007/S40477-013-0014-0.
  4. Chapman J, Helm TA, Kahwaji CI. 2017. Splenic Infarcts. StatPearls Publishing, Treasure Island (FL), US, pp: 472-473.
  5. Heit JA, Silverstein MD, Mohr DN, Petterson TM, O’Fallon WM, Melton LJ. 2000. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Int Medic, 160(6): 809–815.
  6. Oyama R, Takenaka M, Tanaka K, Taira A, Shinohara S, Kuroda K, Tanaka F. 2021. Splenic infarction after left upper lobectomy: a report of a case. Gen Thoracic Cardiovasc Surg, 69(11), 1506-1510.
  7. Ozakin E, Cetinkaya O, Baloglu Kaya F, Acar N, Cevik AA. 2015. A rare cause of acute abdominal pain: Splenic infarct (Case Series). Turkish J Emerg Medic, 15(2): 96. DOI: 10.5505/1304.7361.2015.16769.
  8. Pai AM, Douketis JD. 2019. Prevention of venous thromboembolic disease in adult nonorthopedic surgical patients. URL: https://www.uptodate.com/contents/prevention-of-venous-thromboembolic-disease-in-adult-nonorthopedic-surgical-patients?search=surgerythrombosis&topicRef=1361&source=see_link#H1419599142 (accessed date: February 12, 2022).
  9. Pfrepper C. 2020. Paraneoplastic Thromboembolism and Thrombophilia: Significance in Visceral Medicine. Visceral Medic, 36(4): 280-287. DOI: 10.1159/000509150.
  10. Saraiva M, Magda G, Rita CA, Pinheiro G, Rita CA, Ribeiro S, André C. 2020. Papillary thyroid cancer presenting with splenic infarction. Ann Thyroid Res, 6(3): 287-289.
  11. Soriano-Giménez V, Ruiz de Angulo-Martín D, Munítiz-Ruiz V, Ortiz-Escandell M de los Á, Martínez-de Haro LF, Parrilla-Paricio P. 2017. Infarto esplénico tardío tras gastrectomía vertical laparoscópica: a propósito de un caso. Cirugía y Cirujanos, 85: 80-83.
  12. Vasileiadis I, Boutzios G, Karalaki M, Misiakos E, Karatzas T. 2018. Papillary thyroid carcinoma of the isthmus: Total thyroidectomy or isthmusectomy? Amer J Surg, 216(1): 135-139. DOI: 10.1016/J.AMJSURG.2017.09.008.
  13. Yılmaz G. 2019. Splenic infarction after warfarin overdose treatment: is it a coincidence or complication? Ann Vascul Surg, 59: 314.e5-314.e7. DOI: 10.1016/j.avsg.2019.02.012.