Splenic Infarct: A Rare Presentation in a Pediatric Patient

Authors

  • Palla Bhattarai The Brooklyn Hospital Center, Brooklyn NY, The United States of America.
  • Louidson Pierr The Brooklyn Hospital Center, Brooklyn NY, The United States of America.
  • Adebayo Adeyinka The Brooklyn Hospital Center, Brooklyn NY, The United States of America.
  • Swayam Sadanandan The Brooklyn Hospital Center, Brooklyn NY, The United States of America.

DOI:

https://doi.org/10.31729/jnma.2805

Keywords:

infectious mononucleosis; splenic infarct.

Abstract

A previously healthy 16-year-old male presented with a two day history of persistent epigastric pain. His physical examination was significant for tenderness in the left hypochondriac region with a palpable spleen 2cm below the left sub-costal margin. A CT scan of the abdomen showed a splenic infarct. Heterophile and EBV VCA IgM antibody test were positive. This is a rare case of infectious mononucleosis presenting with splenic infarct in an adolescent male without comorbidities. 

Keywords: infectious mononucleosis; splenic infarct.

References

Guth AA, Pachter HL. Splenic infarct. e Medicine J.
2002;3(4):1-11.
2. Balcar I, Seltzer SE, Davis S. CT patterns of splenic
infarction: a clinical and experimental study. Radiology.
1984;151(3):723-9.
3. Cohen BA, Mitrty HA, Mendelson DS. Computed
tomography of splenic infarction. J Comput Assist Tomogr.
1984;8(1):167-8.
4. Kluger Y, Paul DB, Townsend RN. Enhanced rim around
infarcted, traumatised spleen on computed tomographic
scans: Case report. J Trauma. 1994;36(3):436-7.
5. Breuer C, Janssen G, Laws HJ, Schaper J, Mayatepek E,
Schroten H, et al. European Journal Of Pediatrics. 2008
Dec;167(12):1449-52.


Symeonidis A, Papakonstantinou C, Seimeni U, Sougleri M,
Kouraklis-Symeonidis A, Lambropoulou-Karatza C, et al.
Non Hypoxia-Related Splenic Infarct in a Patient with Sickle
Cell Trait and Infectious Mononucleosis. Acta Haematol.
2001;105(1):53–6.
7. Boivin P, Bernard JF. Deficit en pyruvate kinase,
mononucleose infectieuse, anemie hemolytique a
autoanticorps froids et infarctus splenique massif. Presse
Medicale. 1990 Apr;19(17):818-9.
8. Van Hal S, Senanayake S, Hardiman R. Splenic infarction
due to transient antiphospholipid antibodies induced
by acute Epstein-Barr virus infection. J Clin Virol. 2005
Mar;32(3):245-7.
9. Gavriilaki E1, Sabanis N, Paschou E, Grigoriadis S, Mainou
M, Gaitanaki A, et al. Splenic infarction as a rare complication
of infectious mononucleosis due to Epstein-Barr virus
infection in a patient with no significant comorbidity: case
report and review of the literature. Scand J Infect Dis. 2013
Nov;45(11):888-90.
10. Trevenzoli M, Sattin A, Sgarabotto D, Francavilla E, Cattelan
AM. Splenic infarct during infectious mononucleosis. Scand
J Infect Dis. 2001;33(7):550-1.
11. Garten AJ, Mendelson DS, Halton KP. CT manifestations
of infectious mononucleosis. Clin Imaging. 1992
Apr-Jun;16(2):114-6.
12. Hery G, Becmeur F, Mefat L, Kalfa D, Lutz P, Lutz L, et al.
Laparoscopic partial splenectomy: indications and results
of amulticenter retrospective study. Surg Endosc. 2008
Jan;22(1):45-9.

Downloads

Published

2014-12-31

How to Cite

Bhattarai, P., Pierr, L., Adeyinka, A., & Sadanandan, S. (2014). Splenic Infarct: A Rare Presentation in a Pediatric Patient. Journal of Nepal Medical Association, 52(196), 1017–1019. https://doi.org/10.31729/jnma.2805

Issue

Vol. 52 No. 196 (2014)

Section

Case Reports

License

JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.