An Unusual Cause of Acute Abdomen: Splenic Infarction

Splenic infarction is an uncommon cause of acute abdomen4. Causes include hematologic disease (such as leukemia, lymphoma, myelofibrosis, polycythemia vera), thromboembolic disorders, splenic vascular disease, pancreatic disorders, vasculitis, portal hypertension, bacterial endocarditis, sickle cell disease and infiltrative disorders1,3. It is a well-documented complication of lymphoma. However, there are only a few reports of splenic infarction as the initial lymphomas manifestation2,5, with none describing an acute abdomen due to splenic infarct as the initial presentation of diffuse large B-cell lymphoma (DLBCL) to our knowledge. Herein, is reported a case of a patient who presented with acute abdomen, and was found to have splenic infarction on imaging. Subsequent investigation revealed DLBCL as the etiology of splenic infarction.