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Intrasplenic venous thrombosis: CT findings
V C Schreiner1, A C Wilbur, M Sekosan
1Department of Radiology, University of Illinois College of Medicine, Chicago.
Journal of Computer Assisted Tomography
|March 1, 1995
Summary
Computed tomography (CT) can detect intrasplenic venous thrombosis, a condition often secondary to main splenic vein thrombosis. This finding is crucial for understanding splenic vein occlusion causes.
Area of Science:
- Radiology
- Vascular Imaging
- Abdominal Imaging
Background:
- Intrasplenic venous thrombosis is a rare condition affecting segmental splenic veins.
- Accurate diagnosis is essential for appropriate management and understanding underlying causes.
Observation:
- Three adult patients presented with abdominal CT findings suggestive of intrasplenic venous thrombosis.
- CT revealed short-segment thrombosis as a linear lucency within the spleen.
Findings:
- Histological confirmation in two splenectomy cases identified segmental splenic vein thrombosis.
- Associated causes included main splenic vein occlusion from pancreatitis and splenic compression from a perisplenic abscess.
Implications:
- CT is a valuable tool for diagnosing intrasplenic venous thrombosis.
- This condition can be a secondary manifestation of main splenic vein thrombosis, guiding further investigation and treatment.