Skip to main content
SpringerLink
Log in
Book cover

Pediatric Body CT pp 209–220Cite as

Spleen

  • Chapter

  • 92 Accesses

Abstract

Although the spleen is easily demonstrated on CT scans of the abdomen, this modality is seldom used specifically and solely for the purpose of delineating splenic anatomy and pathology in children. Indeed, very little has been written with specific reference to CT scanning of the spleen in the pediatric age group. The appearance of the spleen on CT is always assessed in children having scans to delineate problems involving other areas of the abdomen (e.g., patients with lymphoma or trauma). CT of the spleen is occasionally performed when clarification of an abnormality suspected on the basis of radionuclide or sonographic examination is necessary. We have used sonography successfully as the initial imaging modality to study children with a left upper quadrant mass when the clinician is unsure whether this represents splenomegaly or a separate mass lesion. It is unusual that CT is required to delineate the anatomy of the left upper quadrant in greater detail because of an inadequate sonographic examination.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Berger PE (1982) Computerized tomography. In: Franken EA (ed) Gastrointestinal imaging in pediatrics. Harper and Row, Philiadelphia, pp. 490–529

    Google Scholar 

  2. Bhimji SD, Cooperberg PL, Naiman S, Morrison RT, Shergill P (1977) Ultrasound diagnosis of splenic cysts. Radiology 122: 787

    PubMed  CAS  Google Scholar 

  3. Blank E, Campbell JR (1973) Epidermoid cysts of the spleen. Pediatrics 51: 75

    PubMed  CAS  Google Scholar 

  4. Carswell JW (1974) Wandering spleen: 11 cases from Uganda. Br J Surg 61: 495–497

    Article  PubMed  CAS  Google Scholar 

  5. Daneman A, Martin DJ (1982) Congenital epithelial splenic cysts in children. Emphasis on sonographic appearances and some unusual features. Pediatr Radiol 12: 119–125

    Article  PubMed  CAS  Google Scholar 

  6. Davis PL, Filly RA, Goerke J (1981) In vitro demonstration of an echogenic emulsion: relationship of lipid particle size to echo detection. J Clin Ultrasound 9: 263

    Article  PubMed  CAS  Google Scholar 

  7. Dembner AG, Taylor K (1978) Gray scale sonographic diagnosis: multiple congenital splenic cysts. J Clin Ultrasound 6: 143

    Article  Google Scholar 

  8. Faer M, Lynch RD, Lichenstein JE, Madewell JE, Feigin DS (1980) Traumatic splenic cyst. Radiology 134: 371

    PubMed  CAS  Google Scholar 

  9. Filly RA, Sommer FG, Minton MJ (1980) Characterization of biological fluids by ultrasound and computed tomography. Radiology 134: 167

    PubMed  CAS  Google Scholar 

  10. Fitzer PM (1976) 9mTC-Pertechnetate angiography and sulphur colloid scans in epidermoid cyst of spleen. Clin Nucl Med 1:60

    Google Scholar 

  11. Forde WJ, Ostrolenk DG, Finby N (1960) Renal displacement associated with enlargement of the spleen. AJR 84: 889

    CAS  Google Scholar 

  12. Frimann-Dahl J (1960) Normal variations of the left kidney. Acta Radiol 55: 207

    Google Scholar 

  13. Glancy JJ (1979) Fluid-filled echogenic epidermoid cyst of the spleen. J Clin Ultrasound 7: 301

    Article  PubMed  CAS  Google Scholar 

  14. Glancy JJ, Goddard J, Pearson DE (1980) In vitro demonstration of cholesterol crystals’-high echogenicity relative to protein particles. J Clin Ultrasound 8: 27

    Article  PubMed  CAS  Google Scholar 

  15. Gooding GAW (1978) The ultrasonic and computed tomographic appearance of splenic lobulations: a consideration in the ultrasonic differential of masses adjacent to the left kidney. Radiology 126: 719

    PubMed  CAS  Google Scholar 

  16. Gordon DH, Burrell MI, Levin DC, Mueller CF, Becker JA (1977) Wandering spleen–the radiological and clinical spectrum. Radiology 125: 39–46

    PubMed  CAS  Google Scholar 

  17. Griscom NT, Hargreaves HK, Schwartz MZ, Reddish JM, Colodny AH (1977) Huge splenic cyst in a newborn: comparison with 10 cases in later childhood and adolescence. Am J Roentgenol Radium Ther Nucl Med 129: 889

    CAS  Google Scholar 

  18. Karstaedt N, Sagel SS, Stanley RJ, Melson GL, Levitt RG (1978) Computed tomography of the adrenal gland. Radiology 129: 723–730

    PubMed  CAS  Google Scholar 

  19. Kaufman RA (1983) Liver spleen computed tomography. A method tailored for infants and children. CT 7: 45–57

    PubMed  CAS  Google Scholar 

  20. Kaufman RA, Towbin R, Babcock DS, Gelfand MJ, Guice KS, Oldham KT, Noseworthy J (1984) Upper abdominal trauma in children: imaging evaluation. AJR 142: 449–460

    PubMed  CAS  Google Scholar 

  21. Koehler RE (1983) Spleen. In: Lee JK, Sagel SS, Stanley RJ (eds) Computed body tomography. Raven, New York, pp 243–256.

    Google Scholar 

  22. Liu P, Daneman A (1985) Unusual positions of the spleen: a report of two cases. J Can Assoc Radiol 36: 163–165

    PubMed  CAS  Google Scholar 

  23. Madayag M, Mosniak MA, Beranbaum E, Becker J (1972) Renal and suprarenal pseudotumors caused by variations of the spleen. Radiology 105: 43

    PubMed  CAS  Google Scholar 

  24. Mittelstaedt CA, Partain CL (1980) Ultrasonic-pathologic classification of splenic abnormalities: gray-scale patterns. Radiology 134: 697

    PubMed  CAS  Google Scholar 

  25. Olutola PO, Daneman A, Martin DJ, Alton DJ (1982) Unusual renal distortion and displacement due to the spleen. Pediatr Radiology 12: 185–189

    Article  CAS  Google Scholar 

  26. Piekarski J, Federle MP, Moss AA, Landon SS (1980) Computed tomography of the spleen. Radiology 135: 683

    PubMed  CAS  Google Scholar 

  27. Propper RA, Weinstein BJ, Skolnick ML, Kisloff B (1979) Ultrasonography of hemorrhagic splenic cysts. J Clin Ultrasound 7: 18

    Article  PubMed  CAS  Google Scholar 

  28. Rao AKR, Silver TM (1976) Normal pancreas and splenic variants simulating suprarenal and renal tumors. AJR 126: 530

    PubMed  CAS  Google Scholar 

  29. Sheflin JR, Lee CM, Kretchmar KA (1984) Torsion of wandering spleen and distal pancreas. AJR 142: 100–101

    PubMed  CAS  Google Scholar 

  30. Shirkhoda A, McCartney WH, Staab EV, Mittelstaedt CA (1980) Imaging of the spleen: a proposed algorithm. Am J Roentgenol Radium Ther Nucl Med 135: 195

    CAS  Google Scholar 

  31. Stiris MG (1980) Accessory spleen versus left adrenal tumor: computed tomographic and abdominal angiographic evaluation. J Comput Assist Tomogr 4: 543

    Article  PubMed  CAS  Google Scholar 

  32. Thurber LA, Cooperberg PL, Clement JG, Lyons EA, Gramiak R, Cunningham J (1979) Echogenic fluid: a pitfall in the ultrasonographic diagnosis of cystic lesions. J. Clin Ultrasound 7: 273

    Article  PubMed  CAS  Google Scholar 

  33. Tonkin ILD, Tonkin AK (1981) Abdominal ultrasound and computed tomography in the diagnosis of visceroatrial situs. Paper presented at 24th Annual Meeting of Society for Pediatric Radiology, San Francisco, March 1981

    Google Scholar 

  34. Whalen JP, Evans JA, Shanser J (1971) Vector principle in the differential diagnosis of abdominal masses: the left upper quadrant. Am J Roentgenol Radium Ther Nucl Med 113: 104

    PubMed  CAS  Google Scholar 

  35. Wicks JD, Silver TM, Bree RL (1978) Giant cystic abdominal masses in children and adolescents: ultrasonic differential diagnosis. Am J Roentgenol Radium Ther Nucl Med 130: 853

    CAS  Google Scholar 

  36. Woodward DAKL (1967) Torsion of the spleen. J Surg 114: 953–955

    Article  CAS  Google Scholar 

  37. Zimmerman O, Scheuken JR, Schultz L, Paustian FF (1972) Epidermoid cyst of the spleen: an unusual cause of splenomegaly. J Pediatr Surg 7: 374

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Toronto, Ontario, Canada

    Alan Daneman MBBCh, BSc, MRACR, FRCP(C) (Associate Professor of Radiology, Staff Radiologist, Head)

  2. Division of Ultrasound and Body CT Department of Radiology, The Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, Ontario, Canada

    Alan Daneman MBBCh, BSc, MRACR, FRCP(C) (Associate Professor of Radiology, Staff Radiologist, Head)

Authors
  1. Alan Daneman MBBCh, BSc, MRACR, FRCP(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Daneman, A. (1987). Spleen. In: Pediatric Body CT. Springer, London. https://doi.org/10.1007/978-1-4471-3137-3_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3137-3_14

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3139-7

  • Online ISBN: 978-1-4471-3137-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation