What is it about?
Wandering spleen is a rare clinical emergency which may cause fatal complication like torsion with subsequent infarction.. Contrast-enhanced computed tomography is important for the diagnosis of wandering spleen and assessment of the viability of spleen. In this paper, we reviewed the CT studies of four cases with wandering spleen. We evaluated the CT studies by measuring the mean spleen and liver density and calculated liver-to-spleen attenuation ratio. We detected some of the previously described signs in the literature such as whirlpool sign, intraperitoneal free fluid, splenic arterial enhancement in all patient, parenchymal and splenic vein enhancement in one patient without infarction, fat rim sign in three patients with infarction, capsular rim sign in one patient with infarction. In conclusion, contrast-enhanced CT should be obtained for the diagnosis of wandering spleen and assessment of the viability of spleen.
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Why is it important?
To the best of our knowledge, this is the first paper describing the liver-to-spleen attenuation ratio on CT in wandering spleen cases.
Perspectives
Writing this paper was quite exciting as it reports four cases of wandering spleen which is a very rare condition.
Yusuf Kenan Cetinoglu
Read the Original
This page is a summary of: Torsion of Wandering Spleen: Importance of Splenic Density and Liver-to- Spleen Attenuation Ratio on CT, Current Medical Imaging Formerly Current Medical Imaging Reviews, January 2020, Bentham Science Publishers,
DOI: 10.2174/1573405614666181009142322.
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