Interventional Radiology of the Spleen

Part of the Medical Radiology book series (MEDRAD)


Interventional radiological techniques have been used increasingly in the management of splenic disorders during recent decades. This attitude went along with a more conservative approach that surgeons and traumatologists adopted in dealing with splenic trauma and hypersplenism. When it became obvious that a correlation existed between splenectomy and increased risk for life-threatening sepsis (Pneumo coccus, Hemophilus influenza, Meningococcus, Staphylococcus aureus, Streptococcus and Pseudomonas), especially in children and adolescents, a progressive shift was noted from an aggressive and resectional type of management to a more conservative, possibly spleen-saving therapy (Greco and Alvarez 1981). Moreover, greater understanding has been reached concerning not only the immunological role of the spleen and its diseases, but also the definition and classification of hyper- splenic syndromes, thereby reducing the number of splenectomies performed for such syndromes (King and Schumacker 1952; O’Neal and McDonald 1981; Green et al. 1986; Pickhardt et al. 1989; Van Hee 1997).


Splenic Artery Transcatheter Arterial Embolization Laparoscopic Splenectomy Percutaneous Biopsy Hereditary Spherocytosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Berkman WA, Harris SA Jr, Bernardino ME (1983) Non-surgical drainage of splenic abscess. AJR Am J Roentgenol 141:395–396PubMedGoogle Scholar
  2. Buntain WL, Gould HR, Maull KI (1988) Predictability of splenic salvage by computed tomography. J Trauma 28:24–34PubMedCrossRefGoogle Scholar
  3. Carrol BJ, Phillips DH, Semel DJ (1992) Laparoscopic splenectomy. Surg Endosc 6:183–185CrossRefGoogle Scholar
  4. Delaitre B (1995) Laparoscopic splenectomy: the “hanged-spleen” technique. Surg Endosc 9:528–529PubMedCrossRefGoogle Scholar
  5. Delaitre B, Maignien B (1992) Laparoscopic splenectomy: technical aspects. Surg Endosc 6:305–308PubMedCrossRefGoogle Scholar
  6. Delcour C, Spiegl G, Brion JP, et al. (1982) Complications in splenic embolization. Ann Radiol (Paris) 25:453–454Google Scholar
  7. Dondelinger RF, Kurdziel JC (1990) Embolization of the spleen. In: Dondelinger RF, Rossi P, Kurdziel JC, Wallace S (eds) Interventional radiology. Thieme, Stuttgart, pp 505–512Google Scholar
  8. Flowers JL, Lefor AT, Steers J, et al. (1996) Laparoscopic splenectomy in patients with hematologic diseases. Ann Surg 224:19–28PubMedCrossRefGoogle Scholar
  9. Gerlock AJ Jr, MacDonnell RC Jr, Muhletaler CA, et al. (1982) Partial splenic embolization for hypersplenism in renal transplantation. AJR Am J Roentgenol 138:451–456PubMedGoogle Scholar
  10. Getrajdman GI, Sclafani SJA (1997) Transcatheter arterial embolization in the management of splenic trauma. In: Baum S, Pentecost MJ (eds) Abrams’ angiography: vascular and interventional radiology, vol 3. Little, Brown and Company, Boston, pp 884–891Google Scholar
  11. Greco RS, Alvarez FE (1981) Protection against pneumococcal bacteremia by partial splenectomy. Surg Gynecol Obstet 152:67–69PubMedGoogle Scholar
  12. Green JB, Shackford SR, Sise MJ, et al. (1986) Late septic complications in adults following splenectomy for trauma: a prospective analysis in 144 patients. J Trauma 26:999–1004PubMedCrossRefGoogle Scholar
  13. King H, Schumacker HB Jr (1952) Splenic studies I: susceptibility to infection after splenectomy performed in infancy. Ann Surg 136:239–242PubMedCrossRefGoogle Scholar
  14. Kreuzfelder E, Obertacke U, Erhard J, et al. (1991) Alterations of the immune system following splenectomy in childhood. J Trauma 31:358–364PubMedCrossRefGoogle Scholar
  15. Kumpe DA, Rumack CM, Pretorius SH, et al. (1985) Partial splenic embolization in children with hypersplenism. Radiology 155:357–362PubMedGoogle Scholar
  16. Lefor AT, Melvin WS, Bailey RW, et al. (1993) Laparoscopic splenectomy in the management of immune thrombocytopenic purpura. Surgery 114:613–618PubMedGoogle Scholar
  17. Mitchell A, Dick R, Akle C (1993) Case report: an adjunct to laparoscopic splenectomy. A new role for interventional radiology. Clin Radiol 48:213–214PubMedCrossRefGoogle Scholar
  18. O’Malley ME, Wood BJ, Boland GW, et al. (1999) Percutaneous imaging-guided biopsy of the spleen. AJR Am J Roentgenol 172:661–665PubMedGoogle Scholar
  19. O’Neal BJ, McDonald JC (1981) The risk of sepsis in the asplenic adult. Ann Surg 194:775–778PubMedCrossRefGoogle Scholar
  20. Papadimitriou J, Tritakis C, Karatzas G, et al. (1976) Treatment of hypersplenism by embolus placement in the splenic artery. Lancet 2:1268–1270PubMedCrossRefGoogle Scholar
  21. Pickhardt B, Moore EE, Moore FA, et al. (1989) Operative splenic salvage in adults: a decade perspective. J Trauma 29:1386–1391PubMedCrossRefGoogle Scholar
  22. Poulin EC, Thibault C, Mamazza J, et al. (1993) Laparoscopic splenectomy: clinical experience and the role of preoperative splenic artery embolization. Surg Laparosc Endosc 3:445–450PubMedGoogle Scholar
  23. Poulin EC, Mamazza J, Schlachta CM (1998) Splenic artery embolization before laparoscopic splenectomy. Surg Endosc 12:870–875PubMedCrossRefGoogle Scholar
  24. Quinn SF, Van Sonnenberg E, Casola G, et al. (1986) Interventional radiology in the spleen. Radiology 161:289–291PubMedGoogle Scholar
  25. Schwartz SI, Adams JT, Bauman AW (1971) Splenectomy for hematologic disorders. Curr Probl Surg 1971:1–57Google Scholar
  26. Sclafani SJ, Weisberg A, Scalea TM, et al. (1991) Blunt splenic injuries: non-surgical treatment with CT, arteriography and transcatheter arterial embolization of the splenic artery. Radiology 181:189–196PubMedGoogle Scholar
  27. Spigos DG, Jonasson O, Mozes M, et al. (1979) Partial splenic embolization in the treatment of hypersplenism. AJR Am J Roentgenol 132:777–782PubMedGoogle Scholar
  28. Spigos DG, Tan WS, Mozes MF, et al. (1980) Splenic embolization. Cardiovasc Intervent Radiol 3:282–287PubMedCrossRefGoogle Scholar
  29. Totte E, Van Hee R, Kloeck I, et al. (1988) Laparoscopic splenectomy after arterial embolisation. Hepatogastroenterology 45:773–776Google Scholar
  30. Traub AC, Perry JF Jr (1981) Injuries associated with splenic trauma. J Trauma 21:840–847PubMedCrossRefGoogle Scholar
  31. Trias M, Targarona EM, Balague C (1996) Laparoscopic splenectomy: an evolving technique. A comparison between anterior and lateral approach. Surg Endosc 10:389–392PubMedCrossRefGoogle Scholar
  32. Van Hee R (1997) Milt. In: Bruining HA, Broos PLO, Goris RJA, VanHee R, Kootstra G, Van Schilfgaarde R, Terpstra OT (eds) Leerboek chirurgie, 5th edn. Bohn, Stafleu and Van Loghem, Houten, pp 518–525Google Scholar
  33. Wholey MH, Chamorro HA, Rao G, et al. (1978) Splenic infarction and spontaneous rupture of the spleen after therapeutic embolization. Cardiovasc Radiol 1:249–253PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  1. 1.Department of RadiologyAcademic Surgical Center StuivenbergAntwerpBelgium

Personalised recommendations