A Rare Cause of Acute Abdomen: Splenic Necrosis

Splenic ischemia is a rare condition among the causes of acute abdomen. "Acute abdomen" refers to sudden, spontaneous, non-traumatic severe abdominal pain. The causes of acute abdomen are highly diverse, including acute appendicitis, acute cholecystitis, ulcer perforation, acute pancreatitis, ruptured ectopic pregnancy, acute mesenteric ischemia, splenic necrosis, and others. While most cases of acute abdomen require emergency surgical intervention, splenic necrosis, except for specific situations, may benefit from medical treatment. In our clinic, two cases of splenic necrosis causing acute abdomen and diagnosed via computed tomography (CT) prompted an investigation into splenic ischemia.