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We present a case report of a 35-year-old woman who had splenic infarction. She had persistent high fever, systemic joint pain, and abnormal liver function. She was diagnosed with cytomegalovirus and human parvovirus B19 concomitant infection. Her coagulopathy test revealed no abnormal results. She was treated with intravenous ganciclovir for 13 days; consequently, her splenic infarction improved after 7 weeks. As per our knowledge, this is the first case of cytomegalovirus and parvovirus B19 coinfection complicated by splenic infarction. Cytomegalovirus and parvovirus B19 may induce a hypercoagulation state during the acute phase.
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http://dx.doi.org/10.1155/2018/7027656 | DOI Listing |
Interv Radiol (Higashimatsuyama)
May 2025
Department of Radiology, Tenri Hospital, Japan.
A 75-year-old man with a history of open surgical repair for a thoracoabdominal aortic aneurysm presented with an aortic pseudoaneurysm at the anastomosis and a celiac artery aneurysm. During endovascular treatment, multiple celiac artery branches were embolized, and an aortic stent graft was placed to cover the aortic anastomosis and celiac artery origin. Four days post-treatment, a computed tomography scan revealed poor enhancement and fluid collection in the pancreatic body and tail, indicating acute ischemic pancreatitis with pancreatic necrosis.
View Article and Find Full Text PDFFront Med (Lausanne)
August 2025
Department of General Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, China.
Background: Wandering spleen is a rare disorder characterized by splenic displacement into the abdominal or pelvic cavity, predisposing to torsion and infarction. Congenital factors (long pedicle, lax ligaments) or acquired conditions (splenomegaly) are the usual causes.
Case Presentation: A 17-year-old female presented with 5 days of escalating abdominal pain.
J Vis Exp
August 2025
Department of Gastroenterological Surgery Unit 1, the Teaching Hospital of Putian First Hospital, Fujian Medical University;
Splenic artery pseudoaneurysm (SAP) complicated by colonic fistula is a highly uncommon but life-threatening vascular complication that may occur after upper abdominal surgery, including radical gastrectomy with D2 lymphadenectomy. The diagnosis is often delayed due to the rarity of this condition and its nonspecific presentation, especially when bleeding manifests as hematochezia rather than intraperitoneal hemorrhage. This report presents two cases of SAP with secondary colonic fistula that occurred approximately one month following laparoscopic total gastrectomy for advanced gastric cancer.
View Article and Find Full Text PDFInt Med Case Rep J
August 2025
Department of Infectious Disease, Tibet Autonomous Region People's Hospital, Lhasa, People's Republic of China.
Infective endocarditis is a severe infectious disease that, in addition to cardiac complications such as heart failure and arrhythmias caused by valve damage, may also lead to extracardiac complications such as septic embolization, metastatic abscesses, and mycotic aneurysms. Here, we report a rare case of splenic infarction resulting from infective endocarditis, subsequently leading to the development of a splenic artery aneurysm three weeks post-surgery confirmed both by CTA and DSA. Following arterial embolization of the aneurysm, the patient eventually recovered completely.
View Article and Find Full Text PDFInt J Emerg Med
August 2025
Department of Emergency Medicine, Riverside University Health System, Cactus Avenue, Moreno Valley, CA, 26520, USA.
Background: Systemic lupus erythematosus is an autoimmune inflammatory disease with extremely variable presentations. While a facial rash is the most common finding, other symptoms can include arthralgias, fatigue, and cytopenias. Abdominal symptoms are much less common presentations of lupus.
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