Multimodality ultrasound assessment of the spleen: Normal appearances and emergency abnormalities

This paper summarizes the main splenic emergencies and their ultrasonographic findings to orient appropriate patient management. US requires minimal preparation time and allows to examine the parenchyma and to detect intraperitoneal fluid collections, which may be indirect evidence of solid organ in...

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Bibliographic Details
Published in:Journal of clinical ultrasound 2023-03, Vol.51 (3), p.543-559
Main Authors: Iacobellis, Francesca, Schillirò, Maria Laura, Di Serafino, Marco, Borzelli, Antonio, Grimaldi, Dario, Verde, Francesco, Caruso, Martina, Dell'Aversano Orabona, Giuseppina, Rinaldo, Chiara, Sabatino, Vittorio, Cantisani, Vito, Vallone, Gianfranco, Romano, Luigia
Format: Article
Language:English
Subjects:
Abdomen
Abnormalities
Anomalies
CEUS
Contrast Media
contrast‐enhanced ultrasound
Doppler effect
Emergencies
emergency ultrasound
Humans
imaging
Infarction
Injuries
Injury analysis
Parenchyma
Spleen
Spleen - diagnostic imaging
splenic emergencies
Ultrasonic imaging
Ultrasonography
Ultrasound
ultrasound evaluation
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Summary:This paper summarizes the main splenic emergencies and their ultrasonographic findings to orient appropriate patient management. US requires minimal preparation time and allows to examine the parenchyma and to detect intraperitoneal fluid collections, which may be indirect evidence of solid organ injuries. In this paper, we analyze the role of B‐mode, Doppler and Contrast‐Enhanced Ultrasound in the diagnosis of splenic emergencies, with a particular focus on splenic infarction, infection, traumatic injuries and vascular splenic anomalies. US (B‐MODE, Doppler and CEUS) is a fundamental tool in the diagnosis and follow‐up of parenchymal and vascular splenic emergencies.
ISSN:0091-2751
1097-0096
DOI:10.1002/jcu.23414