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Massive splenic infarction in a patient with pneumococcal septic shock and unknown celiac disease

Alessandro Graziani, Pierpaolo Casalini, Federica Mirici Cappa, Francesco Albertini, Erica Fiorini, Giampaolo Ugolini, Leonardo Rasciti
  • Pierpaolo Casalini
    Intensive Care Unit, Faenza Hospital, Faenza (RA), Italy
  • Federica Mirici Cappa
    Internal Medicine Department, Faenza Hospital, Faenza (RA), Italy
  • Francesco Albertini
    Infective Care Department, S. Maria delle Croci Hospital, Ravenna, Italy
  • Erica Fiorini
    Internal Medicine Department, Faenza Hospital, Faenza (RA), Italy
  • Giampaolo Ugolini
    Surgical Department, Faenza Hospital, Faenza (RA), Italy
  • Leonardo Rasciti
    Internal Medicine Department, S. Maria delle Croci Hospital, Ravenna, Italy

Abstract

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.

Keywords

Splenic infarction; endocarditis; pneumococcal sepsis; ultrasound contrast.

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Submitted: 2017-07-14 17:34:43
Published: 2017-11-28 14:02:13
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Copyright (c) 2017 Alessandro Graziani, Pierpaolo Casalini, Federica Mirici Cappa, Francesco Albertini, Erica Fiorini, Giampaolo Ugolini, Leonardo Rasciti

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