How Is Splenic Infarction Treated?

Splenic infarct in the non-infectious setting may be treated with analgesics, hydration, anti-emetics and other means of supportive care. In the case of traumatic splenic injury, abnormal vasculature or hemodynamic instability, the surgical evaluation may be required.

Are splenic infarcts painful?

Approximately one third of splenic infarcts are clinically occult. The most common presenting symptom is left-upper-quadrant abdominal pain (up to 70%). Additional symptoms include fever and chills, nausea and vomiting, pleuritic chest pain, and left shoulder pain (Kehr sign).

Is splenic infarct an emergency?

Splenic infarction should certainly be considered in differential diagnosis of patients presenting to the emergency department due to abdominal pain, in view of underlying and risk-posing diseases.