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Splenic Infarct
Ali M. Tahvildari, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Diagnostic Checklist

        TERMINOLOGY

        • Abbreviations

          • Splenic artery (SA); splenic vein (SV)
        • Definitions

          • Global or segmental parenchymal splenic ischemia and necrosis caused by vascular occlusion
          • SA occlusion: Complete blockage of SA blood flow
          • SV thrombosis: Complete blockage of SV blood flow

        IMAGING

        • General Features

          • Ultrasonographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Llewellyn ME et al: The sonographic "bright band sign" of splenic infarction. J Ultrasound Med. 33(6):929-38, 2014
                                    2. Mackenzie DC et al: Identification of splenic infarction by emergency department ultrasound. J Emerg Med. 44(2):450-2, 2013
                                    3. Benter T et al: Sonography of the spleen. J Ultrasound Med. 30(9):1281-93, 2011
                                    4. Kamaya A et al: Multiple lesions of the spleen: differential diagnosis of cystic and solid lesions. Semin Ultrasound CT MR. 27(5):389-403, 2006
                                    5. Madoff DC et al: Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications. Radiographics. 25 Suppl 1:S191-211, 2005
                                    6. Heider TR et al: The natural history of pancreatitis-induced splenic vein thrombosis. Ann Surg. 239(6):876-80; discussion 880-2, 2004
                                    7. Nores M et al: The clinical spectrum of splenic infarction. Am Surg. 64(2):182-8, 1998
                                    8. Goerg C et al: Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology. 174(3 Pt 1):803-7, 1990
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Splenic artery (SA); splenic vein (SV)
                                          • Definitions

                                            • Global or segmental parenchymal splenic ischemia and necrosis caused by vascular occlusion
                                            • SA occlusion: Complete blockage of SA blood flow
                                            • SV thrombosis: Complete blockage of SV blood flow

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Llewellyn ME et al: The sonographic "bright band sign" of splenic infarction. J Ultrasound Med. 33(6):929-38, 2014
                                                                      2. Mackenzie DC et al: Identification of splenic infarction by emergency department ultrasound. J Emerg Med. 44(2):450-2, 2013
                                                                      3. Benter T et al: Sonography of the spleen. J Ultrasound Med. 30(9):1281-93, 2011
                                                                      4. Kamaya A et al: Multiple lesions of the spleen: differential diagnosis of cystic and solid lesions. Semin Ultrasound CT MR. 27(5):389-403, 2006
                                                                      5. Madoff DC et al: Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications. Radiographics. 25 Suppl 1:S191-211, 2005
                                                                      6. Heider TR et al: The natural history of pancreatitis-induced splenic vein thrombosis. Ann Surg. 239(6):876-80; discussion 880-2, 2004
                                                                      7. Nores M et al: The clinical spectrum of splenic infarction. Am Surg. 64(2):182-8, 1998
                                                                      8. Goerg C et al: Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology. 174(3 Pt 1):803-7, 1990