Evidence map›Paper›PMID 42553186›Full record

ArticleFrontiers in cardiovascular medicine2026

Giant chronic splenic infarction mimicking splenic neoplasm in a patient with rheumatic heart disease: a case report.

Wei Tian, Xu Deng, Chunyuan Yang, Jianxing Tian, Zonglong Zhu, Rui Huang, Wei Pan

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In one paragraph

Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wei TianDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Xu DengDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Chunyuan YangDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Jianxing TianDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Zonglong ZhuDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Rui HuangDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.
Wei PanDepartment of Hepatobiliary and Pancreatic Surgery, The People's Hospital of Lezhi, Ziyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Giant chronic splenic infarction is an extremely rare condition with insidious onset and atypical imaging features, carrying a high risk of misdiagnosis as splenic neoplasm. This case highlights the atypical clinical features and important diagnostic considerations of this uncommon disorder. Case description: A 73-year-old female presented with recurrent epigastric pain for 2 years, with a medical history of rheumatic heart disease and hypertension. Contrast-enhanced abdominal computed tomography showed a huge splenic mass measuring approximately 18.0 × 14.2 × 19.1 cm with heterogeneous enhancement and calcification, which was highly suggestive of splenic neoplasm. The patient received splenectomy, and pathological examination confirmed extensive splenic infarction with focal fibrosis and calcification. The patient had an uneventful postoperative recovery, with no evidence of thrombosis or infectious complications during the 3-month follow-up period. Conclusion: Rheumatic heart disease with mitral stenosis may have contributed to splenic infarction as a possible cardioembolic source in this patient. Giant chronic splenic infarction may be misdiagnosed because of atypical clinical manifestations, tumor-mimicking imaging features, and insufficient integration of clinical, laboratory, and imaging findings. A comprehensive assessment of clinical history, laboratory results, imaging findings, and cardiac status may help reduce misdiagnosis and guide appropriate management.

Indexed as

misdiagnosisrheumatic heart diseasesplenectomysplenic infarctionsplenic neoplasm

Identifiers

PMID42553186
PMCPMC13433350

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