AIM The object of this study is to describe the appearance, complications, and outcome of segmental splenic infarctions occurring after blunt trauma using computed tomography (CT). MATERIALS AND METHODS Thirteen blunt trauma patients were identified with splenic infarction on contrast-enhanced CT. CT images were retrospectively reviewed and the percentage of infarcted splenic tissue and prese...

OBJECTIVE To quantitatively assess the degree and rate of splenic enlargement and the time required for regression of splenic enlargement in collegiate athletes diagnosed with acute infectious mononucleosis (IM). DESIGN Prospective cohort study. SETTING Academic Medical Center(s) outpatient sports medicine clinic. STUDY PARTICIPANTS Volunteer Division I University athletes. INTERVENTION...

Ganta, Chanran K., Bryan G. Helwig, Frank Blecha, Roman R. Ganta, Richard Cober, Sujatha Parimi, Timothy I. Musch, Richard J. Fels, and Michael J. Kenney. Hypothermia-enhanced splenic cytokine gene expression is independent of the sympathetic nervous system. Am J Physiol Regul Integr Comp Physiol 291: R558–R565, 2006. First published February 9, 2006; doi:10.1152/ajpregu.00846.2005.— Splenic ne...

The splenic complications associated with acute or chronic pancreatitis are rare, including splenic vein thrombosis, arterial pseudoaneurysm, subcapsular splenic hematoma, and splenic rupture. The management for subcapsular splenic hematoma in pancreatitis remains controversial. We herein report a rare case of large subcapsular splenic hematoma complicating acute pancreatitis, which was success...

We present the case of a 59-year-old man with atraumatic splenic rupture because of splenic vein thrombosis who was successfully treated with splenic artery embolization.

Primary splenic flexure volvulus is a rare entity. We report an acute presentation of primary splenic flexure volvulus with gangrene in a 24-year-old man. Radiograph showed a massively-dilated large bowel loop with a coffee-bean sign. At emergency laparotomy, a distended and gangrenous splenic flexure was found, with absence of all three ligamentous attachments of the splenic flexure.

Introduction. Splenic hematomas usually occur after blunt abdominal trauma. Most of the subcapsular hematomas will be resolved and reabsorbed spontaneously. However in rare cases, some of them organize and form calcified splenic masses. Angiosarcoma is an uncommon primary tumor of the spleen. Splenic angiosarcoma behaves extremely aggressive and has poor prognosis. Case Presentation. We report ...

The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of the 2003 Eastern Association for the Surgery of Trauma (EAST) practice m...

Splenosis is an infrequent acquired condition in which nodules of splenic tissue are transplanted in the peritoneal cavity due to splenic trauma or splenectomy (1). These patients have usually multiple splenic implants in the abdomen ranging from several millimeters up to 7 cm in size (1). The vast majority of such patients are asymptomatic and the lesions are discovered as incidental finding a...

We present a rare case of spontaneous trans-splenic shunt and intra-splenic collaterals in a patient with liver cirrhosis and portal hypertension. The shunt and presence of cirrhosis and portal hypertension was incidentally detected by abdominal computed tomographic imaging during evaluation for abdominal pain. There has been a single report on the presence of trans-splenic shunt in two childre...