<s>[INST] My 37 yr old daughter had mirena placed in June this yr, she is a smoker and 2 weeks ago had sudden severe pain in left abdome with diagnosis of acut splenic infarct she was sent home with meds and follow up labs were done however she has no results yet, now admitted to hospital yesterday with the same symptoms could the mirena be the culprit for the clot? [/INST] Hi, spleen is present in the left upper abdomen, and the uterus and merina are at the pelvic area. So there is no direct relation to the pain, and marina. splenic infarct means that it is not recent, and have no relation to  the marina. So don't worry about the marina and follow the doctors instructions.                          Thank you. </s>