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Spleen ultrasound

Corrado Tagliati, Giulio Argalia, Gabriele Polonara, Andrea Giovagnoni, Gian Marco Giuseppetti
INTRODUCTION: We describe the use of contrast-enhanced ultrasound (CEUS) in the diagnosis of delayed splenic vascular injury (DSVI) and active extravasation (DAE) during spleen injury follow-up. CEUS might be used instead of contrast-enhanced computed tomography (CECT) during spleen injury follow-up in order to reduce radiation exposure. OBJECTIVE: Assess diagnostic comparability between CEUS and CECT in the evaluation of DSVI and DAE during spleen injury follow-up...
November 28, 2018: La Radiologia Medica
F J Tejero-Pintor, C Cuesta-De la Llave, M Rodriguez-Lopez, M Bailon-Cuadrado, D Pacheco-Sánchez
Splenic cysts are a rare pathology, which can be classified as true (25%) or pseudocysts (75%). Total splenectomy has been the treatment of choice, particularly in recent times with the advent of the laparoscopic approach. However, as the spleen is an organ with multiple immunological functions, the laparoscopic partial splenectomy is an alternative, which is technically difficult but effective. We present a case of a 26-year-old woman with incidental evidence of a splenic cyst in an abdominal ultrasound scan...
November 28, 2018: Annals of the Royal College of Surgeons of England
Graeme M Purdy, Marina A James, Jordan L Rees, Peter Ondrus, Jamie L Keess, Trevor A Day, Craig D Steinback
INTRODUCTION: The spleen contains a reservoir of red blood cells that are mobilized into circulation when under physiological stress. Despite the spleen having an established role in compensation to acute hypoxia, no previous work has assessed the role of the spleen during ascent to high altitude. METHODS: Twelve participants completed 2 minutes of handgrip exercise at 30% of maximal voluntary contraction at 1045m, 3440m, and 4240m. In a subset of eight participants, an infusion of phenylephrine hydrochloride was administered at a dosage of 30 µg/l of predicted blood volume at each altitude...
November 21, 2018: Journal of Applied Physiology
Chtioui Mamoun, Fagouri Houda
The diagnosis of splenic infarction is rarely reported in pregnant women. Current incidence of splenic infarction, especially during infectious endocardites as well as diagnostic methods used are poorly specified in the literature. We here report the case of a 26-year old woman with no particular previous history or cardiovascular risk factor who, at the end 14 weeks of amenorrhea, presented to the Emergency Department with febrile syndrome evolving over 10 days and abdominal pain of recent onset at the level of the left hypochondre...
2018: Pan African Medical Journal
Marco Di Serafino, Francesco Verde, Federica Ferro, Norberto Vezzali, Eugenio Rossi, Ciro Acampora, Iacopo Valente, Piernicola Pelliccia, Stefania Speca, Gianfranco Vallone
In infants and children, the spleen is involved in many pathological processes, whether those processes are isolated or related to systemic diseases. Pathology of the pediatric spleen includes congenital anomalies, splenomegaly, trauma, focal lesions, infarction, and tumors. Ultrasonography (US) is a widely available, fast, noninvasive imaging technique to assess the size, shape, and position of the spleen, as well as to define splenic echotexture. US is capable of screening for splenic disorders without the risk of ionizing radiation; it is the initial imaging examination performed to evaluate suspected splenic pathology, providing clinicians with helpful decisional support...
November 16, 2018: Journal of Ultrasound
Hamid Kanoun, Djafer Boulanouar, Mahfoud Djenas, Reda Ghecham, Nordine Ben Ziada, Salah Eddine Rehimat, Ferhat Djamel, Ryad Mehyaoui
INTRODUCTION: Digestive arterial aneurysms are rare. The splenic artery aneurysm (SA) is the most common visceral artery aneurysm (60% of cases). The origin of SA from the superior mesenteric artery (SMA) is an exceptional anatomical variation. The rupture of this aneurysm leads to death in 10 to 25% of cases. OBSERVATION: This is a 40-year-old adult presenting with abdominal pain associated with fever. An abdominal ultrasound shows a vascular mass projecting into the celiac region...
May 2018: La Tunisie Médicale
Felix Neugebauer, Jan Tuma, Andreas L Serra, Roland Stieger, Martin Rohacek
Point-of-Care Ultrasound: Teaching and Learning in Ifakara, Tanzania Abstract. Presentation of two practical cases from the point-of-care ultrasound class in Ifakara, Tanzania. The first case shows the sonographic findings of tuberculosis with findings in the lungs, heart, abdominal lymph nodes and spleen. In the second case, detection of an enterobiliary fistula by sonographic live imaging of air passing from the intestine into the gall bladder and causing non-iatrogenic pneumobilia.
November 2018: Praxis
Corinna Trenker, Lisa May, Damiano Librizzi, Albrecht Neesse, Christian Görg
PURPOSE: In contrast to splenomegaly, the clinical value of a small spleen (hyposplenia) is unclear. Contrast-enhanced ultrasound (CEUS) has not been investigated systematically in hyposplenia. METHODS: Between February 2005 and January 2017, 43 patients with hyposplenia (< 7 × 3 cm) were examined by B-mode ultrasound (US) and CEUS. A retrospective data analysis was performed. RESULTS: A total of 39 (91%) patients had an underlying disease (UD; allogenic stem cell transplantation, n = 16; autoimmune-diseases, n = 7; sickle cell anemia, n = 5; solid tumors, n = 5; others, n = 6)...
November 13, 2018: Digestion
Marcelo Falcão de Santana, Lucas Menezes Marques, Vitor Lopes Gibara, Galeno E Magalhaes Neto, Luiz Gustavo De Quadros, Roberto Luiz Kaiser Júnior, Mikaell Alexandre Gouvêa Faria, Idiberto Zotarelli Filho
An ectopic spleen occurs with less than 600 cases reported and has a large series of splenectomies less than 0.3%. Its highest prevalence occurs between 20 and 40 years of age, being more frequent in female patients. To present an original case report on the occurrence of ectopic spleen, mimicking hepatocellular carcinoma (HCC) after bariatric surgery. Occurrence of migratory spleen after late bariatric surgery, mimicking an HCC discovered in a routine evaluation. JCA patient, male, 66 years old, previously with sleep apnea, hypertensive and diabetic patients on medication regularly, who weighed 112...
October 30, 2018: Cellular and Molecular Biology
Sohail Ahmed Khan, Saira Yasmeen, Hatem Adel, Syed Omair Adil, Farheen Huda, Shahmeer Khan
OBJECTIVE: To determine the normal liver, spleen, and renal parameters in adult patients with no comorbidities. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Dow Institute of Radiology, Ojha Campus, LEJ Campus, and Al-Mustafa Hospital Karachi, from October 2016 to March 2017. METHODOLOGY: A total of 3,136 study participants with more than 16 years of age of either gender underwent ultrasound examination...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
You-Hong Fang, Ke-Rong Peng, Fei-Bo Chen, Lu-Jing Tang, Jie Chen
A boy aged 14 years had abdominal pain as the major manifestation, with elevated serum amylase and lipase. Abdominal ultrasound performed early after onset in another hospital showed enlargement of the pancreas and a reduction in echo. Magnetic resonance cholangiopancreatography (MRCP) showed pancreatic duct dilation and an unclear image of the head of the pancreas. Acute pancreatitis was considered. However, his symptoms were not relieved after fasting, fluid infusion, anti-acid therapy, and somatostatin therapy...
October 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Youssef A Sleiman, Ali Bohlok, Melody El-Khoury, Pieter Demetter, Marc Zalcman, Issam El Nakadi
INTRODUCTION: Cystic lesions of the spleen are infrequent and usually diagnosed incidentally. These lesions are rare and their differential diagnosis is very wide. Splenic epithelial cysts are the most common type of primary splenic cyst (4%). Surgical treatment is indicated for cysts larger than 5 cm or symptomatic. Nowadays, spleen preserving surgery is the gold standard treatment considering the immunologic role of the spleen and the increased risk of post-splenectomy infections...
October 12, 2018: International Journal of Surgery Case Reports
Corrado Tagliati, Giulio Argalia, Beatrice Graziani, Daniela Salmistraro, Gian Marco Giuseppetti, Andrea Giovagnoni
AIMS: To assess mean healing time of blunt spleen injuries managed nonoperatively using CEUS (contrast-enhanced ultrasound); to analyze whether spleen injury grade, subcapsular hematoma (SCH) presence, SCH grade and spleen infarct after spleen artery angioembolization could be related to healing time; and to evaluate CEUS sensitivity in diagnosing spleen injury and to assess CEUS performance in classifying spleen injury grade compared to CT. MATERIALS AND METHODS: After CT evaluation in the Emergency Department, 101 hemodynamic stable blunt spleen trauma patients (73 males; 28 females; mean age 46...
October 25, 2018: La Radiologia Medica
Claudia Lucia Piccolo, Margherita Trinci, Antonio Pinto, Luca Brunese, Vittorio Miele
Splenic injuries are common emergencies in the setting of abdominal trauma, as the spleen is the second most frequently injured abdominal organ after the liver. The treatment of splenic injuries underwent a severe shift from operative to non-operative due to an increased awareness of the double physiological function, both immunological and hematological, of the spleen. This, in turn, led to an increased application of splenic preservation techniques. The non-operative approach has been strengthened through radiological imaging and interventional radiology...
December 2018: Journal of Ultrasound
Romina Grazia Giancipoli, Serena Monti, Olca Basturk, David Klimstra, Mary Louise Keohan, Orazio Schillaci, Giuseppe Corrias, Peter Sawan, Lorenzo Mannelli
RATIONALE: Hepatic epithelioid hemangioendothelioma (EHE) is a rare malignant vascular tumor of endothelial origin with a highly variable clinical presentation and natural history. Given its vascular origin, new therapies with inhibitors of vascular endothelial growth factor (VEGF) have been introduced in the treatment of these patients and have shown promising results. Few reports have described the role of F-Fluorodeoxyglucose positron emission tomography/contrast-enhanced computed tomography (F-FDG PET/CT) in the evaluation of this tumor after treatment with anti-angiogenic agents...
October 2018: Medicine (Baltimore)
C Sangüesa Nebot, E Carazo Palacios, R L Lorens Salvador, S Picó Aliaga
The spleen is considered a "forgotten organ" by most radiologists and paediatricians despite being affected in many clinical paediatric situations. While it is the organ most often affected in paediatric abdominal trauma, non-traumatic spleen disorders are less well known. The spleen is well visualised by any imaging technique: ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI); the former is used most often in children. Using imaging techniques to determine the features of splenic anomalies, both congenital and acquired, enables a correct diagnostic approach, avoids unnecessary surgical procedures or biopsies, and helps the clinician to prescribe appropriate treatment...
October 9, 2018: Radiología
Savio G Barreto, Ilse Dirkzwager, John A Windsor, Sanjay Pandanaboyana
BACKGROUND: Post-operative pancreatic fistulae (POPF) remain a major contributor to morbidity and mortality following pancreatic resection. Evidence for preoperative prediction of POPF based on cross-sectional imaging has not been systemically reviewed. This review aimed to determine whether preoperative imaging modalities can accurately predict the development of POPF. METHODS: A systematic review of major reference databases was undertaken, according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, up to May 2018...
October 10, 2018: ANZ Journal of Surgery
Michael Lipinski, Michael Saborowski, Benjamin Heidrich, Dina Attia, Philipp Kasten, Michael P Manns, Michael Gebel, Andrej Potthoff
OBJECTIVES: The clinical relevance of spontaneous portosystemic shunts detected by ultrasound is insufficiently investigated. The aim of this retrospective study was to assess the frequency and clinical relevance of spontaneous portosystemic shunts in patients with liver cirrhosis. METHODS: We evaluated portosystemic shunts, liver cirrhosis and spleen size by ultrasound in 982 patients with liver cirrhosis and correlated these with laboratory results, clinical data and the incidence of clinical endpoint deaths, liver transplantation and the development of HCC during the follow-up period (mean 1...
September 2018: Scandinavian Journal of Gastroenterology
Kit Fai Lee, Hon Ting Lok, Andrew K Y Fung, Charing C N Chong, Yue Sun Cheung, John Wong, Paul B S Lai
A 51-year-old man who was a hepatitis B carrier presented with ruptured hepatocellular carcinoma (HCC). Hepatic arterial embolization was performed for control of bleeding which was followed by staged open left lateral sectionectomy for tumor removal. Pathology confirmed a 3.5 cm ruptured subcapsular HCC in a cirrhotic liver with clear resection margin. However, the alpha-fetoprotein (AFP) increased from 14 to 72 µg/L after 7 months. A 1.7 × 0.8 cm nodule at left subdiaphragmatic region abutting on the spleen but no intrahepatic lesion was seen on computed tomography (CT)...
September 29, 2018: Journal of Robotic Surgery
Mark D Stringer, Nathanael Lucas
Splenectomy is indicated in selected children with haemolytic anaemia. Postoperatively, thrombocytosis occurs in at least 80% and is one of the factors implicated in the development of acute portal venous thrombosis after splenectomy in adults. A literature review shows that children are also at risk of this complication, but the incidence is low. The risk is greatest in those with particularly large spleens. Laparoscopic splenectomy does not reduce the risk of this complication. Early detection and anticoagulation usually leads to successful resolution of the thrombosis and can mitigate the risk of developing cavernous transformation of the portal vein and chronic portal hypertension...
November 2018: Journal of Paediatrics and Child Health
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