Common questions

How long does splenic infarction last?

How long does splenic infarction last?

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.

Does pancreatic cancer spread to spleen?

Long-term term survival in patients with pancreatic neuroendocrine tumors has been reported, even in patients with metastatic disease. Metastases to the spleen are extremely rare, but have been reported from a number of primary malignancies, such as breast cancer, lung cancer, melanoma and ovarian cancer.

Does a splenic infarct go away?

Splenic infarction occurs when the splenic artery or one of its branches are occluded, for example by a blood clot. In one series of 59 patients, mortality amounted to 5%….

Splenic infarction
Splenic infarct seen on CT
Specialty General surgery

What does a splenic infarct feel like?

Approximately one third of splenic infarcts are clinically occult. The most common presenting symptom is left-upper-quadrant abdominal pain (up to 70%). Additional symptoms include fever and chills, nausea and vomiting, pleuritic chest pain, and left shoulder pain (Kehr sign).

Which is the best treatment for splenic infarction?

Coumadin can be considered in cancer patients with splenic infarction and in patients with splenic vein thrombosis. Splenectomy is indicated in patients with hypersplenism, splenic sequestration crisis, splenic abscess, splenic rupture, and massive splenic infarction.

What causes splenic infarction in sickle cell trait?

Splenic infarction in sickle cell trait is rare. High altitude, vigorous exercise, airplane flight, coexistence with thalassemia or hereditary spherocytosis or severe pyruvate kinase deficiency, can precipitate infarction.

How does hypoxia lead to splenic infarction?

It is possible that the hypoxia associated with the commercial flight caused conformational changes in sickle cells, leading to red blood cells sluggish in the splenic red pulp, and eventually leading to splenic infarction.

How old are patients with splenic vein thrombosis?

Retrospective chart review was conducted in all the patients admitted to our hospital from 2000 till now. Four cases of splenic infarction and/or splenic vein thrombosis were identified (4 males, average age of 45 years, range from 38 to 52 years).