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Spleen ultrasonography

Chee Yik Chang, Wei Chieng Pui, Khamisah Abdul Kadir, Balbir Singh
BACKGROUND: Plasmodium knowlesi, a malaria parasite typically found in long-tailed and pig-tailed macaques, is the most common cause of human malaria in Malaysian Borneo. Infections in humans result in a spectrum of disease, including fatal outcomes. Spontaneous splenic rupture is a rare, but severe complication of malaria and has not been reported previously for knowlesi malaria. CASE PRESENTATION: A 46-year-old man presented with fever and acute surgical abdomen with concomitant P...
December 4, 2018: Malaria Journal
Mauricio Gonzalez Urquijo, Mario Rodarte-Shade, Raul Rangel-Rangel, Jorge A Castillo-Meraz, Jaime R Rodriguez-Tejeda, Gerardo Gil-Galindo
Introduction: Splenic hamartoma is a primary benign tumor of the spleen, with approximately 150 cases documented in the literature to date, with only a few cases associated with symptoms and hematologic disorders. Presentation of case: A 49-year-old female with no past medical history, presented to the emergency department complaining of a three-month history of intermittent abdominal pain and 12 kg of weight loss. Physical examination revealed abdominal distension and a big palpable and painless mass on the left side of her abdomen measuring 14 cm...
December 2018: Annals of Medicine and Surgery
Thorsten Rick, Miriam Kleiter, Ilse Schwendenwein, Eberhard Ludewig, Martin Reifinger, Katharina M Hittmair
Contrast-enhanced ultrasonography (CEUS) is increasingly available for veterinary patients, however limited studies describe the use of this method for characterizing intrathoracic mass lesions. The aim of this prospective, observational study was to describe CEUS enhancement patterns for intrathoracic mass lesions in a sample of cats and dogs. Sixty patients (36 dogs, 24 cats) were included. Standardized CEUS examinations were performed for 41 pulmonary masses (68%) and 19 mediastinal masses (32%). Final diagnosis was based on cytology and/or histopathology...
November 26, 2018: Veterinary Radiology & Ultrasound
Kai Mu, Jing Zhang, Yan Gu, Hongjuan Li, Yan Han, Na Cheng, Xiaoyu Feng, Guoyu Ding, Rongjun Zhang, Yuqi Zhao, Hongmei Wang
RATIONALE: To explore the curative effect of human umbilical cord-derived mesenchymal stem cell (ucMSC) therapy for patients with liver cirrhosis complicated with immune thrombocytopenia and refractory Henoch-Schonlein purpura (HSP). PATIENT CONCERNS: A 12-year-old boy presented to our hospital with an 11-month history of purpura on the skin of both lower limbs accompanied by thrombocytopenia. The patient had a history of repeated swelling and painful dorsum pedis, followed by skin redness...
November 2018: Medicine (Baltimore)
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
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
Allen Nalugwa, Fred Nuwaha, Edridah Muheki Tukahebwa, Annette Olsen
Schistosoma mansoni causes morbidity in human beings, with the highest prevalence in rural sub-Saharan Africa. Prolonged S. mansoni infection with egg deposition in intestinal blood vessels leads to liver and spleen enlargement, and thus chronic morbidity. The objective of this study was to assess whether preschool-aged children develop severe S. mansoni -related morbidity. Parasitological, clinical, and ultrasonographic examinations were carried out in 916 preschool-aged children in five schistosomiasis-endemic districts (Bugiri, Buikwe, Jinja, Mayuge, and Namayingo) along the Lake Victoria shoreline in east-central Uganda...
November 5, 2017: Tropical Medicine and Infectious Disease
Arafat Khalphallah, Enas Elmeligy, Hanan K Elsayed, Bahaa Eldeen A Abedellaah, Doaa Salman, Al-Lethie A Al-Lethie, Sara A Bayoumi
Traumatic pericarditis (TP) remains a serious problem facing bovine producers; particularly in the developing countries; causing severe economic losses. This study was carried out on 47 buffaloes including; control buffaloes (n = 20) and buffaloes with TP (n = 27) at Assiut governorate, Egypt. All animals were subjected to thorough clinical examination, whole blood profiling, blood serum biochemical assays, and radiographic and ultrasonographic examinations. The recorded ultrasonographic findings included; the contractility, contour and shape of the reticulum, shape and size of the heart and spleen involvement...
December 2017: International Journal of Veterinary Science and Medicine
Iraj Shahramian, Razieh Behzadmehr, Mahdi Afshari, Atefeh Allahdadi, Mojtaba Delaramnasab, Ali Bazi
Background: Cholelithiasis and its predisposing factors are less characterized in thalassemia syndromes. In the present study, we assessed the prevalence of gallstones and related-risk factors among thalassemia major (TM) patients in south-east of Iran. Materials and Methods: The patients were recruited form a single center in Zabol city, south-east of Iran. Demographic and clinical information were retrieved from medical histories. Abdominal ultrasonography was performed to scrutinize gallstones and organ dimensions of liver, spleen, gallbladder and kidney...
April 1, 2018: International Journal of Hematology-oncology and Stem Cell Research
Jin-Suk Kim, Ari Chong, Sun Moon Kim
More than 10% of the healthy population has one or more accessory spleens. An accessory spleen can be mistaken for a gastric subepithelial mass, and may not be differentiated by CT or endoscopic ultrasonography (EUS). A gastric subepithelial mass was detected on routine endoscopy in a 52-year-old man with a history of splenectomy 10 years previously for trauma. Subsequent EUS and CT located the subepithelial mass on the fourth layer of the stomach fundus. A definitive diagnosis was obtained by performing technetium-99m (99m Tc-)-labeled denatured red blood cell (RBC) scintigraphy...
December 2018: Radiology Case Reports
Kumble Seetharama Madhusudhan, Ragini Kilambi, Shalimar, Peush Sahni, Raju Sharma, Deep Narayan Srivastava, Arun Kumar Gupta
OBJECTIVE: To assess the accuracy of splenic stiffness (SS) measured by 2D-shear wave elastography (SWE) for predicting variceal bleeding in the patients with extrahepatic portal vein obstruction (EHPVO). METHODS: 52 patients with EHPVO (mean age: 22.29 years; 26 each males and females) were included in the study after obtaining approval from the institute ethics committee. All patients initially underwent upper gastrointestinal endoscopy followed by ultrasonography, including 2D-SWE on the Aixplorer Supersonic Imagine scanner...
December 2018: British Journal of Radiology
Kyu-Chong Lee, Jongmee Lee, Baek Hui Kim, Kyeong Ah Kim, Cheol Min Park
BACKGROUND: Retroperitoneal desmoid-type fibromatosis (DF) is an uncommon mesenchymal neoplasm presenting as a firm mass with locally aggressive features. It usually manifests as a well-circumscribed or ill-defined, solid mass on cross-sectional imaging. Cystic changes of DF have been described in the literature in association with prolonged medical treatment or abscess formation. However, spontaneous cystic change is rarely reported. CASE PRESENTATION: Here we report the case of a 46-year-old patient with a DF mimicked a large cystic tumor in the retroperitoneum...
September 17, 2018: BMC Medical Imaging
Carin E Reust, Amy Williams
Recurrent abdominal pain (RAP) in children is defined as at least three episodes of pain that occur over at least three months and affect the child's ability to perform normal activities. RAP is most often considered functional (nonorganic) abdominal pain, but an organic cause is found in 5% to 10% of cases. Further workup is warranted in children who have RAP and fever, vomiting, blood in the stool, more than three alarm symptoms, or a history of urinary tract infections. Physical examination findings that should prompt further workup include weight loss or failure to grow; jaundice; costovertebral tenderness or back pain with lower extremity neurologic symptoms; liver, spleen, or kidney enlargement; an abdominal mass; or localized tenderness on abdominal examination...
June 15, 2018: American Family Physician
Gloria Pelizzo, Marinella Guazzotti, Catherine Klersy, Ghassan Nakib, Federico Costanzo, Erika Andreatta, Gabrio Bassotti, Valeria Calcaterra
BACKGROUND: We determined the range of normal spleen dimensions evaluated by ultrasonography (US) in children according to sex and age and the relationship between splenic measurements, auxological data and body proportions, in order to define splenomegaly parameters in support of the surgical mini-invasive approaches in pediatrics. METHODS: We prospectively examined 317 caucasian children of both sexes. The patients were divided into three groups: 0-3 years; 4-10 years; 11-18 years...
2018: PloS One
Xiaoxi Pang, Tengyu Li, Cheng'en Wang
Objective This study was performed to investigate the efficacy of proximal splenic artery embolization using detachable balloons for patients with hypersplenism and portal hypertension. Methods Twelve patients diagnosed with hypersplenism with thrombocytopenia or leukocytopenia caused by portal hypertension were treated by proximal splenic artery embolization with detachable balloons and metallic fibered coils. All patients were followed for up to 6 months. Blood parameters, coagulation factors, and liver function indicators were measured...
October 2018: Journal of International Medical Research
Laura Iliescu, Adriana Mercan-Stanciu, Elena Simona Ioanitescu, Letitia Toma
BACKGROUND AND PURPOSE: Hepatitis C virus (HCV) can induce both hepatic and extrahepatic malignancies. A strong association between HCV and non-Hodgkin lymphomas (NHLs) has been demonstrated. The purpose of this article is to give emphasis on the clinical and imagistic particularities of the hepatitis C-associated NHL, revealing the importance of ultrasonography in discovering and characterizing splenic masses. METHODS: We present the cases of 3 women (aged 72, 61, and 56 years, respectively), all of which had a history of chronic hepatitis C and were subsequently diagnosed with different forms of lymphoma...
September 2018: Ultrasound Quarterly
Toko Shinkai, Kentaro Ono, Kouji Masumoto, Yasuhisa Urita, Chikashi Gotoh
BACKGROUND: Nonoperative management (NOM) has been established as the standard treatment for isolated blunt organ injury in hemodynamically stable pediatric patients. Although delayed splenic rupture or bleeding is a rare complication in NOM, it is an issue that many pediatric surgeons are greatly concerned about. We herein report a rare pediatric case concerning the mechanisms involved in delayed splenic rupture after NOM. CASE PRESENTATION: A 9-year-old boy with severe abdominal pain was transferred to our hospital...
July 11, 2018: Surgical Case Reports
Bing Guan, Xiao-Hong Li, Liang Wang, Min Zhou, Zhi-Wu Dong, Guo-Jun Luo, Ling-Ping Meng, Jun Hu, Wei-Yun Jin
RATIONALE: Splenosis is the heterotopic auto-transplantation of the splenic tissues. Gastric splenosis in a rare location mimics a gastrointestinal stromal tumor (GIST). Gastric splenosis with hemangioma has not been reported throughout the literature. PATIENT CONCERNS: We report a case of a 74-year-old schistosomiasis cirrhosis splenectomy woman diagnosed with gastric fundus mass. Preoperative computed tomography and endoscopic ultrasonography revealed findings suggestive of a GIST...
July 2018: Medicine (Baltimore)
Maryam Riahinezhad, Mohammadreza Rezaei, Hosein Saneian, Fatemeh Famouri, Maryam Farghadani
Background: Doppler ultrasonography (Doppler US) plays an important role in evaluating patients with liver cirrhosis. This study aims to investigate the hemodynamic alterations of hepatic artery and portal vein among children with liver cirrhosis and portal hypertension (esophageal varices). Materials and Methods: We conducted an analytical cross-sectional study in Imam Hossein Children's Hospital, Isfahan, Iran, in 2016. A number of 33 cirrhotic children with or without esophageal varices were selected through convenience sampling method to be compared with 19 healthy children as controls using color and spectral Doppler US...
2018: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
S Balakrishnan, S Kapoor, P Vijayanath, H Singh, A Nandhakumar, K Venkatesulu, V Shanmugam
Coeliac artery stenosis (CAS) is rarely of consequence owing to rich collateral supply from the superior mesenteric artery via the pancreatic head. Pancreaticoduodenectomy (PD) in CAS disrupts these collaterals, and places the liver, stomach and spleen at risk of ischaemia. A 56-year-old man presented with a 3-week history of obstructive jaundice. Computed tomography revealed an operable periampullary tumour with CAS due to compression by the median arcuate ligament with multiple collaterals in the pancreatic head and a prominent gastroduodenal artery (GDA)...
September 2018: Annals of the Royal College of Surgeons of England
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