Unal Emre, Onur Mehmet R, Akpinar Erhan, Ahmadov Javid, Karcaaltincaba Musturay, Ozmen Mustafa N, Akata Deniz
School of Medicine, Department of Radiology, Hacettepe University, Ankara, Turkey, 06100.
Department of Radiology, Zonguldak Ataturk State Hospital, Zonguldak, Turkey, 67000.
Insights Imaging. 2016 Apr;7(2):215-22. doi: 10.1007/s13244-016-0467-8. Epub 2016 Feb 16.
Although traumatic injuries are the cause of common splenic emergencies in the emergency room, various nontraumatic conditions may also affect the spleen with possible life-threatening results. In this pictorial review, we present imaging findings of usual and unusual splenic emergencies. It is essential to be familiar with key imaging findings and advantages of different modalities to reach a definitive diagnosis.
• Delayed splenic rupture is commonly related to subcapsular hematoma. • Subtle haemorrhage is commonly restricted to the site of injury "sentinel clot sign". • The whorled appearance is the key imaging feature of splenic torsion.
尽管创伤性损伤是急诊室常见脾脏急症的病因,但各种非创伤性情况也可能影响脾脏,导致可能危及生命的后果。在本影像学综述中,我们展示了常见和不常见脾脏急症的影像学表现。熟悉关键影像学表现及不同检查方式的优势对于做出明确诊断至关重要。
• 延迟性脾破裂通常与包膜下血肿有关。• 轻微出血通常局限于损伤部位(“哨兵血块征”)。• 漩涡状表现是脾扭转的关键影像学特征。