Spontaneous Splenic Infarcts in a Cirrhotic Patient with Primary Biliary Cirrhosis

• Main Authors: Fredy Nehme, Kyle Rowe, Ahmad Haris, Imad Nassif
• Format: Article
• Language: English
• Published: Karger Publishers 2017-01-01
• Series: Case Reports in Gastroenterology
• Subjects: Spontaneous splenic infarction; Primary biliary cirrhosis; Portal hypertension
• Online Access: http://www.karger.com/Article/FullText/456604

Spontaneous splenic infarction has been rarely reported as a complication of cirrhosis and portal hypertension. We describe the case of a 67-year-old female with past medical history of primary biliary cirrhosis presenting for a 1-day history of left upper quadrant pain. Investigations were in favor of splenic infarcts secondary to portal hypertension. The patient improved with conservative management and no recurrence was noted on further follow-up. Splenic infarction must be kept in mind when a patient with cirrhosis presents with left upper quadrant abdominal pain without a clear source.