Journal of Clinical Cases

A Case Of Isolated Splenic Infarction After Paroxysmal Atrial Fibrillation

Yanchao Li , Jian Zhang, Dexin Han, Gang Wang, Mengyue Yang, Yue Zhang, Jialu Guo, Dan Qiang, Qi Liu and Jingbo Hou

1. Department of Cardiology Organization, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, China
2. The Key Laboratory of Myocardial Ischemia Organization, Chinese Ministry of Education, Harbin, Heilongjiang 150086, China
* Yanchao Li and Jian Zhang contributed equally

Corresponding Author: Qi Liu, M.D and Jingbo Hou, M.D

ABSTRACT

Systemic embolism in Atrial fibrillation (AF) occurs predominantly intracranially, with extracranial embolism being less common. This case report presents a case of paroxysmal AF with an isolated splenic artery embolism. The patient’s main manifestation was sudden severe pain in the left hypochondrium region. The main trunk of the splenic artery was diagnosed and finally improved after effective analgesia, anticoagulation, anti-inflammatory therapy, and restoration of sinus rhythm. In patients presenting with acute abdominal pain and paroxysmal AF, it is crucial to consider the possibility of extracranial embolism, such as isolated splenic infarction, as early as possible

KeywordsAtrial fibrillation; Splenic infarction; Artery embolism