We report the case of a 43-year-old man with subacute epigastric pain and
left hypochondriac irradiation. The final diagnosis is a splenic infarction. A
typical manifestation of this disease is a sudden diffuse pain in the left
hypochondrium, accompanied by nausea and early satiety. Etiology is usually
hematologic for patients under 40 years old and embolic for patients over
40. Abdominal scanner can be used to confirm the diagnosis, the treatment is
conservative. Splenic infarction is rare, and therefore not often included in the
differential diagnosis. More than 20% of the cases can lead to complications
such as an abscess or rupture. Therefore splenic infarction should be included
in the differential diagnosis in the situation of left hypochondriac pain.