AN UNUSUAL CAUSE OF ACUTE ABDOMEN: SPLENIC INFARCTION

INTRODUCTION

Splenic infarction is an uncommon cause of acute abdomen⁴. Causes include hematologic disease (such as leukemia, lymphoma, myelofibrosis, polycythemia vera), thromboembolic disorders, splenic vascular disease, pancreatic disorders, vasculitis, portal hypertension, bacterial endocarditis, sickle cell disease and infiltrative disorders^1,3. It is a well-documented complication of lymphoma. However, there are only a few reports of splenic infarction as the initial lymphomas manifestation^2,5, with none describing an acute abdomen due to splenic infarct as the initial presentation of diffuse large B-cell lymphoma (DLBCL) to our knowledge.

Herein, is reported a case of a patient who presented with acute abdomen, and was found to have splenic infarction on imaging. Subsequent investigation revealed DLBCL as the etiology of splenic infarction.