Sebag G, Anagnostopoulos C, Chagnon S, Jacquenod P, Bléry M
Service de Radiologie Centrale, Hôpital Lariboisière, Paris.
J Radiol. 1987 Aug-Sep;68(8-9):563-8.
Anomalies in seven patients with splenic abscess were invariably observed on ultrasound imaging despite absent or misleading clinical symptomatology splenomegaly was detected in only 3 cases. The abscess was multiple in 6 cases with perisplenic extension in 2 patients. Splenectomy was performed in only 2 cases. In one patient, diagnostic and therapeutic fine needle puncture of spleen was performed. Comparison with CT scan imaging is presented with respect to 3 patients. Ultrasound imaging can suggest a diagnosis of intrasplenic abscess and fine needle puncture is not contraindicated.
尽管临床症状不明显或有误导性,但超声成像始终能观察到7例脾脓肿患者的异常情况。仅3例检测到脾肿大。6例为多发性脓肿,2例有脾周扩展。仅2例行脾切除术。1例患者进行了脾脏诊断性和治疗性细针穿刺。呈现了3例患者与CT扫描成像的比较。超声成像可提示脾内脓肿的诊断,细针穿刺并非禁忌。