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Recognition of malposition of the liver and spleen: CT, MRI, nuclear scan and fluoroscopic imaging

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Abstract

Thirteen children initially suspected to have an intrathoracic or intraabdominal mass had malposition of the liver and/or spleen discovered by ultrasound. This group consisted of five children with diaphragmatic eventration or hernia and eight with wandering spleen or liver. Careful ultrasonographic examinations were diagnostic in all patients; seven had surgical confirmation. CT, MRI, nuclear scan and fluorescopic imaging were useful in select instances. The liver and spleen have a characteristic anatomic configuration and sonographic appearance that should enable them to be recognized, and pathological alterations appreciated, even when these organs are ectopic in location or malformed.

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References

  1. Eggli KD, Newman B (1993) Nodules, masses, and pseudomasses in the pediatric lung. Radiol Clin North Am 31: 651

    PubMed  Google Scholar 

  2. Nussbaum AR, Ben-Ami T, Treves S et al (1987) Diagnosis of delayed onset right-sided congenital diaphragmatic hernia using ultrasonic and radionuclide imaging. Pediatr Surg Int 2: 149

    Article  Google Scholar 

  3. Moccia WA, Kaude JV; Felman AH (1981) Congenital eventration of the diaphragm. Diagnosis by ultrasound. Pediatr Radiol 10: 197

    Article  PubMed  Google Scholar 

  4. Herman ZW, Friedwald JP, Donovan C, Scuesa D (1991) Torsion of a wandering spleen in a one month old, with a confusing ultrasound examination. Pediatr Radiol 21: 4424

    Google Scholar 

  5. Shiels WE, Johnson JF, Stephenson SR et al (1989) Chronic torsion of the wandering spleen. Pediatr Radiol 19: 465

    PubMed  Google Scholar 

  6. Oh KS, Strife JL, Fischer KC et al (1977) Pyloroduodenal deformity due to liver malformation associated with omphalocele. AJR 128: 957

    PubMed  Google Scholar 

  7. Gordon DH, Burrell MI, Levin DC, et al (1977) Wandering spleen—the radiological and clinical spectrum. Radiology 125: 39

    PubMed  Google Scholar 

  8. Nemcek AA Jr, Miller FH, Fizgerald SW (1991) Acute torsion of a wandering spleen: diagnosis by CT and duplex Doppler and color flow sonography. AJR 157: 307

    PubMed  Google Scholar 

  9. Allen KB, Gay BB Jr, Skandalakis JE (1992) Wandering spleen: anatomic and radiologic considerations. South Med J 85: 976

    PubMed  Google Scholar 

  10. Woodward DAK (1967) Torsion of the spleen. Am J Surg 114: 953

    Article  PubMed  Google Scholar 

  11. Parker LA, Mittelstaedt CA, Mauro A et al (1984) Torsion of a wandering spleen: CT appearance. J Comput Assist Tomogr 8: 1201

    PubMed  Google Scholar 

  12. Gonzalez-Crussi F, Raibley S, Ballantine TVN et al (1977). Splenorenal fusion: heterotopia simulating a primary renal neoplasm. Am J Dis Child 131: 994

    PubMed  Google Scholar 

  13. Cotelingam JD, Saito R (1978) Hepatolineal fusion: case report of an unusual lesion. Hum Pathol 9: 234

    PubMed  Google Scholar 

  14. Pundaleeka SK, Zimmers TE, Nassos TP (1985) Splenic torsion presenting as a twisted hemorrhagic ovarian cyst. Ann Emerg Med 14: 64

    Article  PubMed  Google Scholar 

  15. Taha AM, Buganski RR, El-Shafie M (1987) Torision of a wandering spleen: a rare cause of acute abdomen. Contemp Surg 31: 16

    Google Scholar 

  16. Newman B, Davis PL (1989) Sonographic and magnetic resonance imaging of an anterior diaphragmatic hernia. Pediatr Radiol 20: 110

    Article  PubMed  Google Scholar 

  17. Sarti DA (ed) (1987) Diagnostic ultrasound: text and cases. 2nd edn. Year Book, Chicago, pp 70–86, 308–314

    Google Scholar 

  18. Shirkhoda A, Wallace S, Sokhandan M (1985) Computed tomography and ultrasonography in splenic infarction. J Can Assoc Radiol 36: 29

    PubMed  Google Scholar 

  19. Goerg C, Schwerk WB (1990) Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology 174: 803

    PubMed  Google Scholar 

  20. Sexton CC, Zeman RK (1983) Correlation of computed tomography, sonography, and gross anatomy of the liver. AJR 141: 711

    PubMed  Google Scholar 

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Newman, B., Bowen, A. & Eggli, K.D. Recognition of malposition of the liver and spleen: CT, MRI, nuclear scan and fluoroscopic imaging. Pediatr Radiol 24, 274–279 (1994). https://doi.org/10.1007/BF02015456

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  • DOI: https://doi.org/10.1007/BF02015456

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