Spleen - Kawamura Flashcards
Is the spleen intraperitoneal or retroperitoneal?
Retroperitoneal
What ligaments support and stabilize the spleen?
Lienorenal, gastrosplenic, and phrenicolic ligaments
What is considered an enlarged spleen?
13 cm
What artery does the splenic artery branch off from?
Celiac axis
What does an accessory spleen look like on US? Location?
Small round mass separated from the spleen usually in the splenic hilum region.
Isoechoic to spleen
You’re having difficulty finding the spleen in the LUQ. You find a structure that looks like in in the LLQ. What is the most likely explanation for this finding?
Wandering spleen
A wandering spleen is at an increased risk for ____ and ____
torsion; infarction
Red pulp is responsible for erythropoiesis throughout our lives. T/F?
False – only in utero. Bone marrow takes over after birth.
Leukocytosis is a typical response to bacterial infection. T/F?
True
What is leukopenia?
Decreased WBC count
Leukopenia is frequently a side effect of chemotherapy. T/F?
True
What is the normal echogenicity of the spleen compared to the liver?
Isoechoic or hyperechoic to the liver
What is the most common sonographically visualized abnormality of the spleen?
Splenomegaly
What is the most common cause for splenomegaly?
Portal hypertension
While scanning the spleen, you notice multiple enlarged tortuous vessels in the splenic hilum. Color Doppler confirms they’re vascular in nature. Dilated vessels are also seen within the splenic parenchyma. What is the most likely cause?
Portal hypertension with collateral varices