Utility of Imaging in the diagnosis of splenic diseases
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 9
Abstract
The spleen has a greater capacity for rapid change in size, than any other organ in the body. It is not likely to be palpable unless it is about three times the normal size. Imaging techniques like ultrasound and computed tomography at this stage have proved to be indispensible, as the pattern and other associated pathology can be identified and the physician can be aided in the early diagnosis and management of splenic disease. This is a prospective study of 30 patients with splenic pathology with, in most cases associated hepatic pathology as well. The study was done to know the possibility of diagnosing splenic disease through imaging and to find out the efficacy of imaging in diagnosing splenic abnormalities. The size of the spleen, the patterns of the disease in different imaging modalities and their correlation with age and sex and different clinical settings were studied. The patients were referred to our department from various other departments mainly from the departments of Medicine, pediatrics, surgery for various complaints. Plain films were taken for all patients for all patients in our study, out of which findings were positive for 3(10.00%). All the patients were subjected to ultrasonographic examination, and splenic disease was identified in all 30 cases. Computed Tomography was made use of, in 5 cases in which in all cases, splenic disease was identified (100%). The overall good sensitivity and accuracy of ultrasound diagnosis in splenic disease in our study has lent support once again to the proposition that ultrasound is the diagnostic technique of choice in the primary evaluation of splenic disease.
Authors and Affiliations
Dr. J. Sandeep, Dr. Avula Siva Prasad
Keywords
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