Scintigraphic evaluation of liver and spleen injury

Gilday, David L.; Alderson, Philip O.

doi:10.1016/s0001-2998(74)80029-2

Cited by 48 publications

(4 citation statements)

References 20 publications

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“…Eine Screeningmethode zum Nachweis einer Autosplenektomie existiert nicht. Einziges etabliertes bildgebendes Verfahren ist die Milzszintigraphie [3,33]. Im vorliegenden Fall wird erstmals beschrieben, dass mit der Farb-Doppler-Sonographie die Verdachtsdiagnose einer Autosplenektomie gestellt werden kann.…”

Section: Ursachen Auf Vaskulärer Ebeneunclassified

Autosplenektomie nach Varizellensepsis bei einem Patienten mit M. Crohn unter immunsuppressiver Therapie

Diedrich

Görg²,

Eissele³

et al. 2003

Z Gastroenterol

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Infiltrative, inflammatory or thromboembolic processes in the parenchyma of the spleen can cause a functional loss of the organ. This phenomenon is called functional asplenia and occurs as a complication especially in sickle cell disease, lupus erythematosus and after bone marrow transplantation. We present the case of a patient with Crohn's disease under immunosuppressive therapy who developed a spontaneous covered spleen rupture in the course of a septic shock with DIG due to a Varizella zoster infection. Later on, sonography showed a diminution of the spleen size. No flow signals could be derived by colour doppler measurements from the spleen. Because of the colour doppler findings we suspected a functional asplenia which was then verified by spleen scintigraphy and Howell-Jolly-Bodies in the blood count. Remarkably, the Crohn's disease remains in complete remission since the development of the functional asplenia (for 4 years now). The underlying pathomechanism remains unclear.

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Section: Ursachen Auf Vaskulärer Ebeneunclassified

Autosplenektomie nach Varizellensepsis bei einem Patienten mit M. Crohn unter immunsuppressiver Therapie

Diedrich

Görg²,

Eissele³

et al. 2003

Z Gastroenterol

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“…The incidence of false-positive diagnosis was assessed to 7 per cent (8,9) and of false-negative to 2 per cent of the cases (8). The last mentioned figure may actually be too low as mainly those patients with scintigraphic evidence of splenic lesion were operated upon.…”

Section: Comparison Between Conventional Scintigraphy In 4 Views and mentioning

confidence: 99%

Scintigraphic Evaluation of Traumatic Splenic Lesions in Children

Erasmie¹,

Mortensson²,

Persson³

et al. 1988

Acta Radiol

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Ninety-eight children with recent blunt abdominal trauma which initially evoked clinical suspicion of splenic injury were examined with colloid scintigraphy of the spleen and the liver using multiple imaging views and with abdominal survey. Nineteen children were, in addition, examined with tomographic scintigraphy. The clinical findings and the course of the disorder were reanalysed. Scintigraphy indicated splenic injury in 56 children and hepatic injury in another 5 children. The left lateral and the left oblique were the optimum imaging views for detecting splenic ruptures. Tomographic scintigraphy did not improve the diagnostic yield. Abdominal survey failed to indicate almost every second case of splenic rupture and provided no additional information of significance. The clinical review agreed with the scintigraphic diagnosis of splenic lesions but, in addition, it suggested possible splenic lesions in another 10 children with normal scintigraphy. This discrepancy cannot be explained as surgery was not employed; the occurrence of splenic lesions too small to become detectable at scintigraphy or to provoke clinically evident symptoms may be supposed.

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“…For patients with abdominal trauma, radiocolloid liver and spleen scans are reliable for the diagnosis of laceration and/or hematoma in these organs. Sequential scans are used as a means to monitor resolution of such injuries (Gilday & Alderson 1974, Harris et al 1977.…”

Section: Liver and Spleenmentioning

confidence: 99%