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Splenic infarction from vascular torsion in a child with normal splenic anatomy
  1. Adolfo L Molina,
  2. Cassi Smola,
  3. Chang L Wu and
  4. Meghan E Hofto
  1. Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA
  1. Correspondence to Dr Adolfo L Molina, AMolina{at}


This is a case of an 8-year-old, Caucasian boy with a complex prior medical history who presented with worsening, acute, left-sided abdominal pain and fever after empiric treatment for a urinary tract infection. Repeat urinalysis was negative for infection. A renal ultrasound assessing for occult perinephric abscess or nephronia revealed normal kidneys but found a tubular structure adjacent to the left kidney. A CT scan further revealed a splenic infarction secondary to torsion. He had a surgical evaluation but was treated empirically with piperacillin/tazobactam for 10 days due to concern for infectious complications following splenic infarction. He had complete resolution of his pain and symptoms. He received routine vaccines for asplenia prior to being discharged home without any further sequelae.

  • gastrointestinal system
  • medical education
  • paediatrics
  • preventative pediatrics
  • surgery
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  • Contributors ALM: primary lead author who outlined and drafted first copy and cared for patient. CS: editing and correction of manuscript as well as caring for patient. CLW: editing of manuscript as well as image preparation. MEH: senior author who completed first copy and involved in editing and completion of manuscript as well.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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