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Splenic Vascular Disorders
Ali M. Tahvildari, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            • Scanning Tips

              TERMINOLOGY

              • Abbreviations

                • Splenic artery (SA) occlusion
                • Splenic vein thrombosis (SVT)
              • Definitions

                • Splenic infarction: Loss of viability of part or all of splenic parenchyma due to ischemia
                • SA occlusion: Complete blockage of SA blood flow
                • SVT: Complete blockage of SV blood flow

              IMAGING

              • General Features

                • Ultrasonographic 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. Heider TR et al: The natural history of pancreatitis-induced splenic vein thrombosis. Ann Surg. 239(6):876-80; discussion 880-2, 2004
                                      2. Baron PW et al: Upper gastrointestinal bleeding from gastric submucosal arterial collaterals secondary to splenic artery occlusion: treatment by splenectomy and partial gastric devascularization. Am J Gastroenterol. 95(10):3003-4, 2000
                                      3. Sakorafas GH et al: Splenic-vein thrombosis complicating chronic pancreatitis. Scand J Gastroenterol. 34(12):1171-7, 1999
                                      4. Han DC et al: The clinical complexity of splenic vein thrombosis. Am Surg. 64(6):558-61; discussion 561-2, 1998
                                      5. Nores M et al: The clinical spectrum of splenic infarction. Am Surg. 64(2):182-8, 1998
                                      6. Tessler FN et al: Diagnosis of portal vein thrombosis: value of color Doppler imaging. AJR Am J Roentgenol. 157(2):293-6, 1991
                                      7. Goerg C et al: Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology. 174(3 Pt 1):803-7, 1990
                                      8. Ralls PW: Color Doppler sonography of the hepatic artery and portal venous system. AJR Am J Roentgenol. 155(3):517-25, 1990
                                      9. Jaroch MT et al: The natural history of splenic infarction. Surgery. 100(4):743-50, 1986
                                      10. Maresca G et al: Sonographic patterns in splenic infarct. J Clin Ultrasound. 14(1):23-8, 1986
                                      11. Sitzmann JV et al: Splenic complications of a pancreatic pseudocyst. Am J Surg. 147(2):191-6, 1984
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                • Scanning Tips

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Splenic artery (SA) occlusion
                                                    • Splenic vein thrombosis (SVT)
                                                  • Definitions

                                                    • Splenic infarction: Loss of viability of part or all of splenic parenchyma due to ischemia
                                                    • SA occlusion: Complete blockage of SA blood flow
                                                    • SVT: Complete blockage of SV blood flow

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic 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. Heider TR et al: The natural history of pancreatitis-induced splenic vein thrombosis. Ann Surg. 239(6):876-80; discussion 880-2, 2004
                                                                          2. Baron PW et al: Upper gastrointestinal bleeding from gastric submucosal arterial collaterals secondary to splenic artery occlusion: treatment by splenectomy and partial gastric devascularization. Am J Gastroenterol. 95(10):3003-4, 2000
                                                                          3. Sakorafas GH et al: Splenic-vein thrombosis complicating chronic pancreatitis. Scand J Gastroenterol. 34(12):1171-7, 1999
                                                                          4. Han DC et al: The clinical complexity of splenic vein thrombosis. Am Surg. 64(6):558-61; discussion 561-2, 1998
                                                                          5. Nores M et al: The clinical spectrum of splenic infarction. Am Surg. 64(2):182-8, 1998
                                                                          6. Tessler FN et al: Diagnosis of portal vein thrombosis: value of color Doppler imaging. AJR Am J Roentgenol. 157(2):293-6, 1991
                                                                          7. Goerg C et al: Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology. 174(3 Pt 1):803-7, 1990
                                                                          8. Ralls PW: Color Doppler sonography of the hepatic artery and portal venous system. AJR Am J Roentgenol. 155(3):517-25, 1990
                                                                          9. Jaroch MT et al: The natural history of splenic infarction. Surgery. 100(4):743-50, 1986
                                                                          10. Maresca G et al: Sonographic patterns in splenic infarct. J Clin Ultrasound. 14(1):23-8, 1986
                                                                          11. Sitzmann JV et al: Splenic complications of a pancreatic pseudocyst. Am J Surg. 147(2):191-6, 1984