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Erschienen in:
27.01.2022 | Images in Surgery
Acute Abdomen in Atrial Fibrillation Due to Thromboembolism of the Kidney and Spleen
Erschienen in: Indian Journal of Surgery | Ausgabe 6/2022
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Acute abdomen triggered by viscus arterial occlusion is a severe condition, often presenting remarkable abdominal pain but with mild abdominal signs on physical examination. Herein, we describe a 59-year-old man with atrial fibrillation and type 2 diabetes, who once underwent mitral valve replacement surgery with mechanical valves, presented with acute left flank pain and abdominal pain for an hour while driving. Abdominal imaging data combined with laboratory tests and his high body temperature suggested arterial thromboembolism of the left kidney and spleen, accompanied by infection and kidney injury. Due to early diagnosis and timely anticoagulation and administration of antibiotics, both the spleen and left kidney were salvaged, avoiding any major surgery. Therefore, for high-risk patients, maintaining a proper international normalized ratio of prothrombin time plays an important role to prevent against viscus arterial occlusion. Early diagnosis and timely treatments are the crucial key to successful managing the involved viscus.