A 32-year-old man with Glanzmann’s thromboasthenia presented with a 5-week history of bleeding gums and a 3-week history of left upper quadrant abdominal pain. His vital signs were normal. Physical examination was significant for a holosystolic murmur consistent with mitral regurgitation, and for a tender abdomen at the left upper quadrant.

Laboratory values were: WBC 14,600 cells/mm3, neutrophils 84%, and ESR 98 mm/hr. A contrast CT of the abdomen showed a wedge-shaped hypodense splenic lesion, consistent with splenic infarct (Figure 1 and Figure 2).

Author information: Amer A Alkhatib, Adjunct Clinical Assistant Professor, Department of Pharmacotherapy, Washington State University, Spokane, Washington, USA; Fateh Ahmad Elkhatib, Hospitalist, Department of Internal Medicine, Holy Family Hospital, Spokane, Washington, USA

Correspondence: Dr Amer A Alkhatib, Department of Pharmacotherapy, Washington State University, PO Box 1495, Spokane, Washington 99210, USA. Email: khatibamer@yahoo.com