SpleenThis is a featured page

Patient position:Start with the pt supine.Angle the probe between the ribs intercostally posterolaterally.Overlying bowel gas, overlying lung base or rib shadows can cause problems. Slowly roll the patient, to improve visualistaion.Try inspiration,expiration,distended abdomen,erectRarely the left lobe of the liver (if enlarged) may be used as a window to assess to superoanterior portion of the spleen.
Ultrasound Appearances
The spleen has a homogeneous, "inverted comma" appearance.
Size:When it becomes enlarged it loses this shape and as it expands it becomes very rounded and sometimes appears as an egg shape extending beyond the Left kidney.Measurement:Normal is <12-14cm adult (or Volume <400/500cc).The spleen is enlarged if it covers the entire left kidney
  • Splenomegaly >12-14 cm (or Volume >500cc)and becomes rounded.
  • Infection- multiple echogenic foci (granulomata)
  • Haemangioma
  • Cysts
  • Metastases
  • Lymphoma
  • Varices - portal hypertension
  • Haematomas-intraparenchymal, subcapsular and pericapsular
  • Abscess
  • Splenic infarction
Normal variants:
  • Accessory spleen (splenunculi)- can appear at the site of the pancreatic tail, the inferior pole of spleen or in the splenic hilum.It can be mistaken for a mass or lymph node.
  • Asplenia (no spleen)
  • Polysplenia (>1)

Latest page update: made by AndyC , May 27 2010, 2:26 AM EDT (about this update About This Update AndyC Edited by AndyC

193 words added

view changes

- complete history)
Keyword tags: spleen ultrasound
More Info: links to this page
There are no threads for this page.  Be the first to start a new thread.

Related Content

  (what's this?Related ContentThanks to keyword tags, links to related pages and threads are added to the bottom of your pages. Up to 15 links are shown, determined by matching tags and by how recently the content was updated; keeping the most current at the top. Share your feedback on WikiFoundry Central.)