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ANGIOGRAPHY OF SPLENIC ABSCESSES

RICHARD P. JACOBS M.D.1, JON D. SHANSER M.D.1, DONALD L. LAWSON M.D., and ALPHONSE J. PALUBINSKAS M.D.

1 Research Fellow in Diagnostic Radiology.

The criteria outlined and summarized in Table II show no single observation diagnostic of splenic abscess.

This constellation of findings, however, in the context of a known abdominal inflammatory process, is quite helpful in differentiating a splenic abscess from other avascular intrasplenic masses. If the patient has an avascular, expansile, intrasplenic mass with irregular margins and documented bacterial seeding of the blood stream or a mycotic aneurysm, a splenic abscess should be the primary diagnostic consideration.

Moreover, it is apparent from our cases that angiography may be pivotal in the preoperative evaluation of such patients.


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