A Rare Cause of Left Upper Quadrant Abdominal Pain
(2018) Gastroenterology — Vol. 154, n° 1, p. e7-e9 (2018)
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- Authors
Dargent, Jean-Louis 
- Abstract
- (en) QUESTION: A 77-year-old woman was referred for continuous left upper quadrant abdominal pain and a hypointense splenic mass on T2-weighted magnetic resonance imaging sequences of the spine, ordered for suspicion of degenerative disc disease. Clinical examination and bloodwork were normal. Her history was relevant for abdominal contusion during a car crash 30 years ago, but no splenic lesion was found on surgical exploration at that time. A computed tomography scan showed a well-defined, 12 × 9 × 6-cm lesion with a hypodense necrotic center and isodense peripheral tissue that enhanced after contrast injection, amidst an otherwise normal appearing spleen (Figure A, B). No distant lesions were found. Because the lesion’s size had increased compared with a scan from 2 years earlier and considering a potential malignant process, total splenectomy was performed. [...]
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Citations
Hommel, C., Dargent, J.-L., & Druez, P. (2018). A Rare Cause of Left Upper Quadrant Abdominal Pain. Gastroenterology, 154(1), e7-e9. https://doi.org/10.1053/j.gastro.2017.04.051 (Original work published 2018)