title: Spontaneous Splenic Infarcts in a Cirrhotic Patient with Primary Biliary Cirrhosis.
abstract: Spontaneous splenic infarction has been rarely reported as a complication of cirrhosis and portal hypertension. We describe the case of a 67-year-old female with past medical history of primary biliary cirrhosis presenting for a 1-day history of left upper quadrant pain. Investigations were in favor of splenic infarcts secondary to portal hypertension. The patient improved with conservative management and no recurrence was noted on further follow-up. Splenic infarction must be kept in mind when a patient with cirrhosis presents with left upper quadrant abdominal pain without a clear source.
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine, Wichita, KS, USA.
authors.forename: Fredy
authors.initials: F
authors.lastname: Nehme
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine, Wichita, KS, USA.
authors.forename: Kyle
authors.initials: K
authors.lastname: Rowe
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine, Wichita, KS, USA.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Haris
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine, Wichita, KS, USA.
authors.forename: Imad
authors.initials: I
authors.lastname: Nassif
keywords: Portal hypertension; Primary biliary cirrhosis; Spontaneous splenic infarction