# Splenic Surprise: Investigating a Case of Splenic Infarct as an Isolated COVID-19 Manifestation

## TL;DR

A 43-year-old woman with no typical COVID-19 symptoms was found to have a splenic infarct caused by the virus, highlighting unusual complications of SARS-CoV-2.

## Contribution

This case adds to the understanding of atypical, isolated splenic infarct as a manifestation of the prothrombotic state in COVID-19.

## Key findings

- A splenic infarct was detected in a patient with no typical COVID-19 symptoms.
- The infarct was determined to be secondary to SARS-CoV-2 infection after ruling out other causes.
- The case highlights the prothrombotic state of SARS-CoV-2 leading to rare complications.

## Abstract

Coronavirus disease 2019 (COVID-19) infection has been associated with a multitude of complications, one established complication being thromboembolism, a result of the proinflammatory state induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This prothrombotic state is a cumulation of many inflammatory pathways at work. Here, we present an interesting case of a 43-year-old female who did not present with the typical COVID-19 clinical picture. Instead, she presented with periumbilical pain, nausea, and vomiting. Upon further investigation, she was found to have a splenic infarct on a computed tomography (CT) scan. An extensive workup was performed to explore possible etiologies; however, it was concluded that her splenic infarct was secondary to her COVID-19 infection. With this case, we aim to add to the literature regarding the manifestations of the prothrombotic state of SARS-CoV-2.