case_images: PMC9933890_01
case_images: Representative image of a CTA scan of the abdomen showing an extensive filling defect in the splenic artery indicating a thrombus.. Area within the red circle indicates the location of the thrombus.
case_images: cureus-0015-00000033880-i01.jpg
case_images: PMC9933890_01_cureus-0015-00000033880-i01.jpg
case_images: FIG1
case_images: A computed tomography angiography (CTA) scan of the abdomen revealed an extensive thrombus in the splenic artery, with no signs of any malignancy (Figure 1).
case_images: Representative image of a CT scan of the abdomen showing a filling defect indicating persistent thrombus in the splenic artery, as well as visible infarction in the spleen.. (A) Area within the red circle indicates the location of the thrombus. (B) Green arrow indicates normal area of the spleen, which is hyperdense. Red arrow indicates the infarcted area of the spleen, which is hypodense.
case_images: cureus-0015-00000033880-i02.jpg
case_images: PMC9933890_01_cureus-0015-00000033880-i02.jpg
case_images: FIG2
case_images: A computed tomography (CT) scan of the abdomen showed that the previous thrombus had increased in size to fill the entire splenic artery, as well as a low-density splenic lesion noted anteriorly and inferiorly thought to represent sequela of a splenic infarct (Figure 2).
case_images: Representative image of the histology of the splenic vessels, showing thrombosis.. (A) Completely thrombosed vessel, with green arrows indicating area of organized fibrosis. (B) Partially occluded vessel, with blue arrow indicating partially organizing thrombi.
case_images: cureus-0015-00000033880-i03.jpg
case_images: PMC9933890_01_cureus-0015-00000033880-i03.jpg
case_images: FIG3
case_images: The specimen was sent for biopsy, which showed thrombus in the splenic vessels (Figure 3).
case_images: Representative image of a CT scan of the abdomen after splenectomy showing an absent spleen and a filling defect indicating thrombus in the ligated splenic artery.. Area within the red circle indicates the location of the thrombus.
case_images: cureus-0015-00000033880-i04.jpg
case_images: PMC9933890_01_cureus-0015-00000033880-i04.jpg
case_images: FIG4
case_images: The patient's abdominal pain improved significantly over the next few days, and a post-splenectomy CT scan of the abdomen showed a thrombus in the ligated splenic artery and an absent spleen (Figure 4).