case_images: PMC11824907_01
case_images: Contrast enhanced computed tomography (CECT) images obtained 12 hours after symptom onset. Coronal (A) and axial (B and C) CECT images in the portal venous phase demonstrate abnormal enhancement of the spleen with a large non-enhancing area within the posterior and inferior spleen (orange arrows). Normal enhancing spleen is noted anteriorly (green arrows).
case_images: cureus-0017-00000077438-i01.jpg
case_images: PMC11824907_01_cureus-0017-00000077438-i01.jpg
case_images: FIG1
case_images: Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis was obtained 12 hours after symptom onset (Figure 1).
case_images: Computed tomography images obtained 10 days after symptom onset. Axial non-enhanced (A) and contrast enhanced images in arterial phase (B) and portal venous phase (C) demonstrate a large non-enhancing area of the spleen (orange arrows) consistent with splenic infarction. Normal enhancing spleen is shown anteriorly (green arrows).
case_images: cureus-0017-00000077438-i02.jpg
case_images: PMC11824907_01_cureus-0017-00000077438-i02.jpg
case_images: FIG2
case_images: He was directed to the emergency department for repeat abdominal imaging where a repeat CECT was consistent with a large splenic infarction (Figure 2).