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Percutaneous Nonvascular Splenic Intervention: A 10-Year Review

¹ All authors: Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, White 270, 55 Fruit St., Boston, MA 02114.

View larger version (158K): [in a new window]   Fig. 1. —Contrast-enhanced CT scan of 42-year-old man with history of lymphoma shows multiple discrete low-attenuation lesions throughout spleen. Fine-needle aspiration biopsy proved one lesion to be lymphoma.

View larger version (159K): [in a new window]   Fig. 2A. —63-year-old man with history of carcinoid tumor. Contrast-enhanced CT scan shows ring-enhancing splenic lesion. This lesion was one of several splenic lesions in this patient.

View larger version (158K): [in a new window]   Fig. 2B. —63-year-old man with history of carcinoid tumor. Unenhanced CT scan obtained at biopsy shows lesion, which proved to be metastatic carcinoid.

View larger version (114K): [in a new window]   Fig. 3A. —42-year-old woman with history of melanoma. Sonogram shows hyperechoic splenic lesion outlined by cursors.

View larger version (117K): [in a new window]   Fig. 3B. —42-year-old woman with history of melanoma. Sonogram obtained during sonographically guided splenic biopsy shows needle in mass. This mass proved to be metastatic melanoma.

View larger version (147K): [in a new window]   Fig. 4A. —48-year-old man who presented with incidental splenic lesion. Diagnostic contrast-enhanced CT scan shows splenic lesion.

View larger version (145K): [in a new window]   Fig. 4B. —48-year-old man who presented with incidental splenic lesion. CT scan shows 22-gauge needle within lesion, which proved to be littoral cell angioma.

View larger version (161K): [in a new window]   Fig. 5A. —68-year-old woman with history of lymphoma. Diagnostic CT scan shows splenic lesion. No lymphadenopathy was visible.

View larger version (146K): [in a new window]   Fig. 5B. —68-year-old woman with history of lymphoma. CT scan shows biopsy needle within lesion, which proved to be splenic infarct.

View larger version (157K): [in a new window]   Fig. 6A. —61-year-old man who presented with fever and left upper quadrant pain. Diagnostic CT scan shows low-attenuation lesion within spleen.

View larger version (159K): [in a new window]   Fig. 6B. —61-year-old man who presented with fever and left upper quadrant pain. CT scan obtained during guided biopsy shows needle and lesion. Pus was aspirated.

View larger version (154K): [in a new window]   Fig. 6C. —61-year-old man who presented with fever and left upper quadrant pain. CT scan shows pigtail catheter coiled within abscess. Note small perisplenic fluid collection (arrows) after procedure.

View larger version (127K): [in a new window]   Fig. 7. —68-year-old woman with isolated hypodense splenic lesion. CT scan obtained several hours after splenic biopsy shows large splenic hemorrhage. Biopsied lesion was angiosarcoma, and patient required splenectomy.

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