Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen
Journal of community hospital internal medicine perspectives
Splenic infarct is an incredibly rare diagnosis for abdominal pain. One study involving two hospitals over ten years describes only 0.0037% of all hospital admissions presenting with splenic infarction. Our report describes a case of massive splenomegaly causing pain in a different location compared to the normal anatomical location of the spleen with an unexpected cause, lymphoma. High clinical suspicion for lymphoma as a cause of splenic infarction is critical because this disease can otherwise be clinically silent. This case emphasizes the importance of a thorough clinical workup and persistence in diagnostic pursuit.
Williams, Jennifer; Ima, Shumona; Milrod, Charles; and Krishnamurthy, Mahesh, "Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen" (2018). Center for Primary Care & Community Health Research @SLUHN Articles & Publications. 20.