Test Yourself

Case 1

HISTORY

This 17 year old female presented to the Emergency Department with a 48 hour history of left upper quadrant pain. She was normally well. Her vital signs were normal but there was focal tenderness in the left upper quadrant although her pain in the region made palpation of a spleen difficult. A bedside ultrasound was performed in the Emergency Department

ULTRASOUND FINDINGS

The spleen is enlarged. There is a focal area of hypo-echogenicity in the spleen with a wedge shape

DISCUSSION

Focal lesions of the spleen are rare compared with hepatic lesions. Splenic infarction is one of the commoner causes of a focal splenic lesion. The appearance of a wedge shape should make this one of the first diagnostic considerations, although the appearance can be variable and echogenicity varies with age (more echogenic over time) The aetiology can vary but myeloproliferative disorders and infective endocarditis are some of the commoner causes. The diagnosis in this case was confirmed on CT

SUBMITTED BY

Greg Sweetman


Spleen

Spleen

spleen
Spleen spleen Spleen