Subject(s)
Humans , Male , Adult , Splenic Infarction/complications , Abdomen, Acute/etiology , Splenic Infarction/pathology , Splenic Infarction/diagnostic imaging , Biopsy , Tomography, X-Ray Computed/methods , Lymphoma, Large B-Cell, Diffuse/complications , Lymphoma, Large B-Cell, Diffuse/pathology , Ultrasonography, Doppler, Color/methods , Abdomen, Acute/pathology , Abdomen, Acute/diagnostic imagingABSTRACT
Acute mesenteric ischemia is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and to prevent bowel necrosis and patient death. While, almost always superior and inferior mesenteric arteries are involved, we report a 57-year-old male with an unusual celiac artery trunk thrombosis leading to gastero-duodenal and hepato-splenic infarction, and presenting an acute liver failure
Subject(s)
Humans , Male , Thrombosis/complications , Celiac Artery/diagnostic imaging , Ischemia , Celiac Artery/pathology , Vascular Diseases , Liver Failure, Acute/etiology , Splenic Infarction/diagnostic imagingABSTRACT
Follow-up of colorectal carcinoma after therapy is based on symptoms, tumor markers, and imaging studies. Clinicians sometimes face diagnostic dilemmas because of unusual presentations on the imaging modalities coupled with rising serum markers. We report a case of colorectal carcinoma that presented with gastrointestinal symptoms 14 months after completion of treatment. Investigations showed rise in carcinoembryonic antigen (CEA). Suspecting disease recurrence, complete radioimaging workup was performed; the only abnormality detected was a smooth, hypodense area in the posterior third of the spleen on contrast-enhanced computed tomography abdomen. In view of the previous diagnosis of carcinoma colon, the symptoms reported by the patient, the elevated CEA, and the atypical CECT appearance, a diagnosis of splenic metastasis was made. The patient was subjected to splenectomy as a curative treatment. However, the histopathological report revealed it to be a splenic infarct. The present case reemphasizes the limitations of radiological studies in the follow-up of carcinoma colon.