A Case of Splenic Infarction Developing Atrial Fibrillation

Introduction: Splenic infarct is an unusual altitude. Generally, it arises from hematologic diseases and vascular and thromboembolic disorders. Case Report: A 79-year-old woman was admitted to our clinic with pain of the left upper region, emesis, vomiting, nausea, and cold sweat. The patient took beta-blocker and antiaggregant treatment for hypertension and atrial fibrillation. We detected rapid ventricular response atrial fibrillation on her ECG analysis. Also, abdominal CT was concordant with a splenic infarct. Her coagulation tests and sickle cell anemia tests were normal, which excluded hematological disorders (protein C, protein S, antithrombin III, Factor V Leiden mutation, homocysteine value, prothrombin 20210 A mutation, factor levels). We evaulated important risk factors as etiological causes for atrial fibrillation. Low-molecular-weight heparin (LMWH), oxygen, and intravenous hydration were started in the patient. Her complaints were decreased with time and showed clinical recovery. Conclusion: Our case is very interesting, because there is no frequent splenic infarct coexisting with atrial fibrillation.