MORE CAUSE, MORE EFFECT: A CASE REPORT OF SIMULTANEOUS SPLENIC INFARCTION AND RENAL INFARCTION

Abdominal pain is one of the most common reasons for presentation to the emergency department. Splenic infarction and renal infarction in the differential diagnosis of abdominal pain are rare clinical conditions caused by organ hypoperfusion. The majority of predisposing factors for both splenic infarction and renal infarction include hypercoagulable states and thromboembolic events. Contrast-enhanced CT imaging is the gold standard for both diagnoses. Conservative treatment is mostly preferred for both infarction conditions; however, surgery is performed in some cases. A 65-year-old woman presented to the emergency department with a long-standing complaint of abdominal pain. She had a history of both hypercoagulability and thromboembolic diseases. INR was 4.08 in blood tests: 4.08. Contrast-enhanced abdominal CT scan showed multiple infarct areas in the spleen and a large infarct area in the posterior and superior aspect of the left kidney. The patient was transferred to the ward for follow-up. With conservative treatment, the patient had no problems related to both clinical events, but he died on the 8th day of follow-up due to pathologic conditions related to his sub-diseases. With this case report, we wanted to draw attention to the fact that splenic infarction and renal infarction may occur simultaneously in the presence of multiple predisposing factors in the differential diagnosis of abdominal pain.