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

Year 2022, Volume: 5 Issue: 3, 565 - 567, 01.09.2022

Nafis Vural

https://doi.org/10.19127/bshealthscience.1085422

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.

Keywords

Splenic infarction Thyroidectomy Emergency department

Supporting Institution

None

Project Number

None

References

  • 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.
  • 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.
  • 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.
  • Chapman J, Helm TA, Kahwaji CI. 2017. Splenic Infarcts. StatPearls Publishing, Treasure Island (FL), US, pp: 472-473.
  • 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.
  • 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.
  • 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.
  • 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).
  • Pfrepper C. 2020. Paraneoplastic Thromboembolism and Thrombophilia: Significance in Visceral Medicine. Visceral Medic, 36(4): 280-287. DOI: 10.1159/000509150.
  • 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.
  • 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.
  • 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.
  • 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.

Year 2022, Volume: 5 Issue: 3, 565 - 567, 01.09.2022

Nafis Vural

https://doi.org/10.19127/bshealthscience.1085422

Abstract

Project Number

None

References

  • 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.
  • 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.
  • 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.
  • Chapman J, Helm TA, Kahwaji CI. 2017. Splenic Infarcts. StatPearls Publishing, Treasure Island (FL), US, pp: 472-473.
  • 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.
  • 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.
  • 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.
  • 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).
  • Pfrepper C. 2020. Paraneoplastic Thromboembolism and Thrombophilia: Significance in Visceral Medicine. Visceral Medic, 36(4): 280-287. DOI: 10.1159/000509150.
  • 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.
  • 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.
  • 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.
  • 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.
There are 13 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Nafis Vural 0000-0002-3551-201X

Project Number None
Publication Date September 1, 2022
Submission Date March 9, 2022
Acceptance Date May 16, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

APA Vural, N. (2022). Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. Black Sea Journal of Health Science, 5(3), 565-567. https://doi.org/10.19127/bshealthscience.1085422
AMA Vural N. Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. BSJ Health Sci. September 2022;5(3):565-567. doi:10.19127/bshealthscience.1085422
Chicago Vural, Nafis. “Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department”. Black Sea Journal of Health Science 5, no. 3 (September 2022): 565-67. https://doi.org/10.19127/bshealthscience.1085422.
EndNote Vural N (September 1, 2022) Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. Black Sea Journal of Health Science 5 3 565–567.
IEEE N. Vural, “Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department”, BSJ Health Sci., vol. 5, no. 3, pp. 565–567, 2022, doi: 10.19127/bshealthscience.1085422.
ISNAD Vural, Nafis. “Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department”. Black Sea Journal of Health Science 5/3 (September 2022), 565-567. https://doi.org/10.19127/bshealthscience.1085422.
JAMA Vural N. Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. BSJ Health Sci. 2022;5:565–567.
MLA Vural, Nafis. “Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department”. Black Sea Journal of Health Science, vol. 5, no. 3, 2022, pp. 565-7, doi:10.19127/bshealthscience.1085422.
Vancouver Vural N. Splenic Infarction Following Thyroidectomy: An Unusual Case in the Emergency Department. BSJ Health Sci. 2022;5(3):565-7.
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