Open AccessMassive splenic infarction in a patient with pneumococcal septic shock and unknown celiac disease
Author(s) -
Alessandro Graziani,
Pierpaolo Casalini,
Federica Mirici Cappa,
Francesco Albertini,
E Fiorini,
Giampaolo Ugolini,
Leonardo Rasciti
Publication year - 2017
Publication title -
italian journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.134
H-Index - 10
eISSN - 1877-9352
pISSN - 1877-9344
DOI - 10.4081/itjm.2017.908
Subject(s) - medicine , splenic infarction , shock (circulatory) , myocardial infarction , infarction , spleen , septic shock , sepsis , splenic artery , thrombosis , embolus , cardiology , disease , radiology
Splenic infarction (SI) is a rare event occurring when the splenic artery or its branches become occluded by embolus or by in situ thrombosis. Many SI events are a result of embolic sources either cardiac or aortic. Massive splenic infarction (MSI) results from compromised blood flow to more than half of the spleen. In this paper we describe a case of a previously healthy patient who presented with pneumococcal sepsis who, upon investigation, revealed an unknown celiac disease and a MSI. Abdominal ultrasound with contrast agent was a useful tool for a diagnosis and follow up of this patient