Splenic infarct

Case contributed by Dr Henry Knipe


Likely infective endocarditis. Now severe LUQ pain and palpable splenomegaly ?infarct.

Patient Data

Age: 31
Gender: Male

Upper abdomen

Mild splenomegaly. In the mid-to-upper spleen is a hypoechoic, avascular band extending across the spleen measuring approximately 1cm in width, in keeping with a localized infarct.No free fluid. 

Patient complained of increasing left upper quadrant pain and a CT was organised to asses for an progression of the splenic infarct or a new left kidney infarct. 


Upper abdomen

Wedge-shaped hypodensities through the anteroinferior aspect of the spleen in keeping with splenic infarct. Small amount of perisplenic fat stranding. This has progressed compared to the recent ultrasound.

At the right renal midpole is a small cortical hypodensity. Cholelithiasis. Liver, adrenal glands and left kidney have a normal appearance. Small left pleural effusion and dependent left basal atelectasis.

Case Discussion

Splenic infarction in the setting of infective endocarditis is common, complicating approximately 35% (range 20-47%) of patients with left-sided infective endocarditis. Splenic infarcts themselves can be complicated by splenic abscess formation. 

Unsurprisingly there is also a probable small renal infarct. 

PlayAdd to Share

Case information

rID: 27930
Published: 27th Feb 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.