EURORAD ESR

Case 12476

Wandering spleen

Author(s)
Parekh M, Bentley S

Columbia University Medical Center, New York.
Email:maansiparekh@gmail.com
 
Patient
female, 74 year(s)
 
 
  • Figure 1
    Preoperative CT

    Preoperative CT reveals a well-perfused spleen in the left upper quadrant. Also seen is a heterogenously enhancing partially exophytic left renal lower pole mass.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Instrumentation; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    Postoperative CT

    First postoperative CECT reveals a homogenously enhancing lesion in the anterior abdomen resembling spleen. Vessels are seen perfusing it.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Instrumentation; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Postoperative CT

    Postoperative CT reveals a homogenously enhancing spleen which is inferiorly displaced and rotated. Mild ascites, secondary to surgery. Subcutaneous emphysema noted.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Instrumentation; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 4
    Postoperative CT: vessels at splenic hilum

    Postoperative CT reveals a homogenously enhancing spleen in the anterior abdomen,with splenic artery and vein at the hilum. Mesenteric fat stranding and postsurgical changes in the left kidney noted.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Instrumentation; Special Focus: Haemodynamics / Flow dynamics;
     
     
Preoperative CT reveals a well-perfused spleen in the left upper quadrant. Also seen is a heterogenously enhancing partially exophytic left renal lower pole mass.
 
First postoperative CECT reveals a homogenously enhancing lesion in the anterior abdomen resembling spleen. Vessels are seen perfusing it.
 
Postoperative CT reveals a homogenously enhancing spleen which is inferiorly displaced and rotated. Mild ascites, secondary to surgery. Subcutaneous emphysema noted.
 
Postoperative CT reveals a homogenously enhancing spleen in the anterior abdomen,with splenic artery and vein at the hilum. Mesenteric fat stranding and postsurgical changes in the left kidney noted.
 
 
 
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