[Splenic infarction caused by supra-celiac aortic thrombus. Two case reports].
Aortic mural thrombosis is a rare situation in clinical practice. Its pathogeny is ignored in the majority of cases and clinical presentation is variable, according to the location of the thrombus and the multiple and diverse forms of embolism that can cause. For these reasons, clinical diagnosis may be extremally difficult. The authors report the cases of two women aged 52 and 41 years old respectivelly admitted in the Emergency Department with abdominal and lumbar pain, due splenic embolic infarctions, a diagnosis made by CT-Scans. The computed tomography disclosed also the presence of mural thrombus in the celiac aorta, one of them as a floating thrombus, which were regarded as the source of the embolism. Supraceliac aortic thrombectomy was performed, associated to splenectomy in both cases. Post operative course was uneventfull and reviewed 10 months and 9 years after the operation, they were found in pretty good condition, with no evidence of recurrence of the disease.
Gimenez
José L
JL
Clinica Universitária de Cirurgia Vascular do Hospital de Santa Maria, Lisboa.
Fernandes
Ruy F e
RF
Pedro
Luis M
LM
Dinis da Gama
A
A
D000328:Adult; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013159:Splenic Infarction / Q000209:etiology*; D013927:Thrombosis / Q000150:complications*