Spleen

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Spleen infections

Ultrasound images of diseases of the spleen:

 

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Ectopic spleen:

 

spleen in the pelvis       ultrasound images of pelvic spleen

This patient was a young male child who presented with pain in the left iliac fossa. Ultrasound images reveal absence of the spleen and left kidney in left hypochondrium. A structure showing echogenicity and texture similiar to the spleen was seen in left iliac fossa next to the urinary bladder. These ultrasound images are diagnostic of pelvic spleen (ectopic spleen). The left kidney was absent in this case. The right kidney appears mildly enlarged and is seen in the right hypochondrium. Images taken using the HS2000 (Honda Electronics). Sonographic images courtessy of Dr. Tariq Mahmood, Pakistan.

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Reference:

1) http://jdm.sagepub.com/cgi/content/abstract/8/1/25 (abstract)

2) http://rad.usuhs.edu/medpix/medpix.html?mode=single&recnum=2007 (free article and images)

 

Splenosis:

 

Splenosis following trauma:

ultrasound image of splenosis     rounded spleen like mass near left kidney

autotransplantation of spleen

 

This patient had splenic rupture following severe trauma, for which splenectomy was done. Subsequent ultrasound imaging showed a large, rounded, well defined mass lesion in the left hypochondrium close to the left kidney. The lesion measured about 4 cms. in size. These ultrasound images suggest splenosis. Splenosis is the autotransplantaion of splenic tissue following splenic injury. Images courtesy of Dr. Ravi Kadasne, UAE (using a Toshiba Powervision Machine).

Reference: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1451006 (free article)

Rupture of spleen and treatment of hemorrhage using embolization coils:

 

Ultrasound images showing splenic hematoma before coil embolization:

sonography of splenic hematoma    Pre-embolization image of splenic hematoma

Ultrasound images showing reduction in size of hematoma after coild embolization:

splenic hematoma after embolization     post embolization ultrasound image of hematoma

CT image of large splenic hematoma:                          CT scan image post coil embolization:

Ct scan image of splenic hematoma before treatment    coil is seen in splenic artery

CT scan image post coil embolization:

CT scan image after coil embolization of splenic artery

This patient had a rupture of spleen with large hematoma in the spleen. This is seen in the ultrasound images of the spleni hematoma (images on topmost row). The splenic hematoma measured almost 12 x 6 cms. Coil embolization of the splenic artery was done to control the bleeding. Sonography of the spleen shows (2nd row from top) after embolization shows reduction in the size of hematoma. CT scan (CAT scan) images of the splenic hematoma also show reduction in size of the hematoma. The coil is seen as a markedly hyperdense object in the splenic hilum (arrowhead- COIL EMB in CT images). There are 2 types of coils used for arterial embolization, the microcoils and macrocoils. All above images are courtesy of Shlomo Gobi, Israel.

Reference: http://emedicine.medscape.com/article/419614-overview (free article and images).

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  This page was last edited on: Thursday December 17, 2009 03:11 PM  

Copyright ©   2007- All rights reserved- www.ultrasound-images.com Dr. Joe Antony, MD, Cochin- 20, India.

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