During my recent stay in the hospital, I was diagnosed with splenic embolic infarcts — areas of tissue death in the spleen caused by a blockage in blood flow, usually from a blood clot traveling from elsewhere in the body. This can happen in people with heart problems, blood disorders, or systemic illnesses.
I warned the other patients and nurses that I would research my own condition and other problems I heard about in hospital, and then blog about them to help others. I refuse to hide in the corner and just give up — my goal is to share knowledge and awareness.
What Causes Splenic Infarcts?
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Emboli: Clots forming elsewhere in the body can travel to the spleen.
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Cardiac sources: In patients with heart failure, clots can form in the left ventricle and travel to organs like the spleen.
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Systemic conditions: Atrial fibrillation, blood disorders, or other diseases can increase the risk of clot formation.
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Other factors: Trauma and certain systemic illnesses may also lead to splenic infarction.
Symptoms to Watch For
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Abdominal pain: Sudden, severe pain in the left upper abdomen is the most common symptom.
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Referred pain: Pain can sometimes radiate to the left shoulder.
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Other signs: Nausea, vomiting, fever, and chills may occur. Some infarcts are asymptomatic and only discovered on imaging.
How It’s Diagnosed
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Imaging: A CT scan with contrast is the most accurate method. Ultrasound can sometimes detect changes as well.
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Laboratory tests: There isn’t a single definitive test, but blood tests may show elevated white blood cells in some patients.
Treatment and Care
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Supportive care: Many infarcts that are asymptomatic don’t require surgery.
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Treat the underlying cause: Focus on managing heart arrhythmias, blood disorders, or other root causes.
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Antibiotics and drainage: If the infarct becomes infected or forms an abscess, antibiotics or drainage may be needed.
Why I’m Sharing This
I want others to understand that splenic infarcts, while serious, can often be managed effectively if detected early. By monitoring symptoms, seeking medical care promptly, and understanding the causes, patients can take an active role in their health.
During my hospital stay, I promised myself I wouldn’t just stay quiet or give up. I’m documenting these experiences to help people understand serious medical conditions, to advocate for proper care, and to give others the tools to stay safe and informed.
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