BACKGROUND Splenic metastases are very rare and are mostly diagnosed at the terminal phase of the disease or at the time of autopsy. The cytohistological diagnosis, when done, is made prevalently by splenectomy. Reports on splenic percutaneous biopsies in the diagnosis of splenic metastasis are fragmentary and very poor. The aims of this study are to analyse retrospectively the accuracy, safety...

BackgroundNon-operative management (NOM) is accepted treatment of splenic injury, but this may fail leading to splenectomy. Splenic artery embolization (SAE) improve rate salvage. The purpose determine the cost-utility addition SAE for high-grade injuries.MethodsA analysis was developed compared NOM in patients with blunt injury. Sensitivity completed account uncertainty. Utility outcome qualit...

Splenic hamartoma is an uncommon benign tumor. We retrospectively analyzed all patients who underwent splenectomy between May 2000 and June 2006 and four cases of splenic hamartoma were encountered. Three patients presented with mild abdominal pain. Abdominal ultrasonography was the first diagnostic step, which revealed a splenic mass. Doppler ultrasonography, computed tomography, and magnetic ...

Vascular diseases of the spleen are relatively uncommon in the clinical practice. However, the reported incidence has been progressively increasing, probably due to advances in the imaging modalities used to detect them. This disease condition often presents with non-specific clinical manifestations, but can be associated with significant morbidity and mortality. This review article aims to pro...

Splenic cysts are rare clinical entities, reportedly occurring in only 0.5%–2.0% of the population. The first splenic cyst was reported in 1829 by Andral, and with the increasing use of diagnostic imaging, splenic cysts are now more commonly being diagnosed incidentally. We report the case of a splenic cyst in an 18-year-old man who initially presented to a remote nursing station in Labrador wi...

Splenic infarction is rare in cirrhotic patients. The diagnosis of the condition is based on clinical findings and splenic imaging. In recent years, ultrasonography and computed tomographic scan have gained popularity over the more classical scintigraphy as the preferred investigations for the diagnosis of splenic infarction. We report three cases of splenic infarction in patients with cirrhosi...

Splenic infarction is a clinical entity seldom encountered. The most frequent causes of splenic infarction include thromboembolic phenomena, hematologic malignant neoplasms, and vasculitides. We describe a patient who sustained splenic infarction secondary to diabetes-induced, small-vessel atherosclerotic disease.

Pathological rupture of the spleen in uncomplicated myeloma is extremely rare. We present a case of a splenic rupture which occurred in a 52 year old woman with uncomplicated multiple myeloma. The patient required an urgent splenectomy and had an uneventful recovery. Pathophysiological mechanisms leading to splenic rupture are discussed. Plasma cell leukaemias have been previously documented to...

Pancreatic tail adenocarcinoma is both a diagnostic and therapeutic challenge. Despite technical and therapeutic advances, the prognosis remains dismal; the average survival time after diagnosis is characteristically only five to eight months. Both splenic infarction and abscess are very rare complications of pancreatic cancer. In this case of splenic infarction, the possible source of emboli s...

Partial splenectomy was carried out in four children with homozygous sickle cell disease and eight children with sickle cell beta thalassaemia. It was performed in order to preserve splenic contribution to the host defence against infections while suppressing hypersplenism or the risk of recurrence of acute splenic sequestration. Indications for this surgical operation were acute splenic seques...