Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Sahib Bhatia¹, Salim Chamoun¹, Ashwin Sidhu¹, Muhammad Zafar¹, Nalin Ranasinghe², Leonard Ranasinghe^3*
1First-year Medical Student, California Northstate University College of Medicine, 9700 W. Taron Dr., Elk Grove, California, USA
²Emergency Physician and Director of Emergency Department, AO Fox Hospital, Oneonta, New York, Assistant Professor, California Northstate University, Elk Grove, California, USA
³Professor of Emergency Medicine and Director of Emergency Medicine Clerkships, California Northstate University, Elk Grove, CA

Corresponding Author: Leonard Ranasinghe, MD
Address: College of Medicine, California Northstate University, 9700 West Taron Drive, Elk Grove, California 95757, USA.
Received date: 05 June 2021; Accepted date: 26 June 2021; Published date: 02 July 2021

Citation: Bhatia S, Chamoun S, Sidhu A, Zafar M, Ranasinghe N, Ranasinghe L. Renal Infarction and Decreased Splenic Perfusion Secondary to a Left Ventricular Thrombus: A Case Report. Asp Biomed Clin Case Rep. 2021 Jul 02;4(2):114-18.

Copyright © 2021 Bhatia S, Chamoun S, Sidhu A, Zafar M, Ranasinghe N, Ranasinghe L. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Left Ventricular Thrombus, Renal Infarct, Splenic Infarction, Abdominal Pain

Abstract

We report a case of a 67-year-old man who presented to urgent care with a one-week history of left-sided abdominal pain and oliguria. Over the past month, he reported feeling fatigued as well as noticed decreased urine output. The patient does have a significant cardiac medical history that includes coronary artery disease with a previous myocardial infarction, reduced ejection fraction, and hypertension. Imaging studies were conducted which revealed the likely etiology of his current symptoms. A transthoracic echocardiogram (TTE) revealed the presence of a large non-mobile apical thrombus occupying most of the apex of the left ventricle. Computed Tomography (CT) confirmed an apical left ventricular thrombus and showed decreased perfusion to the spleen and ischemia/infarction of the left kidney. The patient was initially treated with heparin but subsequently given enoxaparin with bridging to warfarin. He began to feel better with less left flank pain. Although this presentation of an LV thrombus is a rare occurrence, it is important for physicians to consider abdominal pain as a presenting complaint.