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2008
- handle: 10670/1.h39k1g
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A. Kursner et al., « Douleur irradiant dans l'hypochondre gauche?. [Pain irritating in the left hypochondre?] », Serveur académique Lausannois, ID : 10670/1.h39k1g
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We report the case of a 43-year-old man with subacute epigastric pain and left hypochondriac irradiation. The final diagnosis is a splenic infarction. A typical manifestation of this disease is a sudden diffuse pain in the left hypochondrium, accompanied by nausea and early satiety. Etiology is usually hematologic for patients under 40 years old and embolic for patients over 40. Abdominal scanner can be used to confirm the diagnosis, the treatment is conservative. Splenic infarction is rare, and therefore not often included in the differential diagnosis. More than 20% of the cases can lead to complications such as an abscess or rupture. Therefore splenic infarction should be included in the differential diagnosis in the situation of left hypochondriac pain.