Can you see splenic infarct on ultrasound?

Can you see splenic infarct on ultrasound?

Abdominal ultrasound has also been used to detect splenic infarction. Ultrasound findings of the hypoechoic wedge-shaped region of splenic tissue indicate infarction. Evolution of infarction may appear as hyperechoic with retraction of the splenic capsule.

What does splenic infarct mean?

Splenic infarction is the death of tissue (necrosis) in the spleen due to a blockage in blood flow.

What causes splenic infarction?

Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. Splenic infarction may be the result of arterial or venous occlusion. Occlusion is usually caused by bland or septic emboli as well as venous congestion by abnormal cells.

Is splenic infarction serious?

While it is often asymptomatic, splenic infarction may be an initial sign for other underlying serious conditions such as hematologic disease, malignancy, or cardioembolism1,3,6,7,8. Splenic infarction may further results in pseudocyst, abscess, hemorrhage, or rupture.

What are the symptoms of splenic infarct?

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).

How common is a splenic infarct?

Splenic infarcts are rare cases. It may not be noticed in the emergency department because the clinical picture is likely to mimic various acute abdominal pains. The splenic infarct is often the result of systemic thromboembolism associated with cardiovascular disorders.

Does splenic infarct go away?

In patients with the underlying hematologic disease or autoimmune disease, consultation with hematology, oncology or rheumatology may be indicated. Abdominal pain due to uncomplicated cases of splenic infarction resolve without intervention in 7-14 days 10).