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Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen
Journal article   Open access   Peer reviewed

Left lower quadrant pain: an unlikely diagnosis in a case of acute abdomen

Jennifer Williams, Shumona Ima, Charles Milrod and Mahesh Krishnamurthy
Journal of community hospital internal medicine perspectives, v 8(5), pp 296-299
03 Sep 2018
PMID: 30357010
url
https://doi.org/10.1080/20009666.2018.1517578View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

infarction Lymphoma oncology spleen splenomegaly
Splenic infarct is an incredibly rare diagnosis for abdominal pain. One study involving two hospitals over ten years describes only 0.0037% of all hospital admissions presenting with splenic infarction. Our report describes a case of massive splenomegaly causing pain in a different location compared to the normal anatomical location of the spleen with an unexpected cause, lymphoma. High clinical suspicion for lymphoma as a cause of splenic infarction is critical because this disease can otherwise be clinically silent. This case emphasizes the importance of a thorough clinical workup and persistence in diagnostic pursuit.

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Medicine, General & Internal
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