What is the role of imaging studies in the diagnosis for splenic infarct?

Updated: Jul 27, 2020
  • Author: Manish Parikh, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Other modes of diagnosis include radioisotope scans and ultrasonographic evaluation of the spleen. Angiography is indicated when a vascular lesion is suspected as the etiologic cause, as in cases of arterial embolization, or when it is necessary to manage segmental bleeding by embolization (see the images below).

Splenic infarct. Selective splenic arteriogram sho Splenic infarct. Selective splenic arteriogram showing extravasation of contrast from the splenic artery at the splenic hilum prior to angioembolization (same patient as in the above image).
Computed tomography scan of the spleen 5 days afte Computed tomography scan of the spleen 5 days after angioembolization of a bleeding splenic artery, showing partial splenic infarct (demonstrated by a lack of IV contrast enhancement of the lower pole of spleen). The patient experienced no adverse sequelae and fared well following his discharge to home 5 days after the embolization (same patient as in the above images).

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