Skip to main content

Vascular Pathology of the Spleen

  • Chapter
Medical Imaging of the Spleen

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

This chapter refers to lesions involving the splenic vessels and to the consequent splenic parenchymal pathology of such lesions. Splenic vessels include the splenic vein and the splenic artery. The splenic vein is a thin-walled vein coursing in a groove along the upper dorsal surface of the pancreas and is formed by the union of four or five branches leaving the splenic hilum. Occasionally, a vein from the upper pole of the spleen joins the splenic vein more proximally (the superior polar vein). Proximally, the splenic vein receives the short gastric veins and the gastroepiploic vein from the stomach. It receives multiple pancreatic branches and the inferior me- senteric vein as it passes posterior to the tail and body of the pancreas. The splenic vein then unites with the superior mesenteric vein to form the portal vein behind the neck of the pancreas. The splenic vessels pass towards the spleen in the phrenicosplenic and lienorenal ligaments. The splenic artery arises from the coeliac trunk and enters the spleen as four or five branches at the hilum between the gastric and renal impressions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

eBook
USD 9.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Adler DD, Glazer GM, Aisen AM (1986) MRI of the spleen: normal appearance and findings in sickle-cell anemia. AJR Am J Roentgenol 147:843–845

    PubMed  CAS  Google Scholar 

  • Angelakis EJ, Bair WE, Barone JE, et al. (1993) Splenic artery aneurysm rupture during pregnancy. Obstet Gynecol Surg 48:145–148

    Article  CAS  Google Scholar 

  • Avery GR, Wilsdon JB, Mitchell L (1991) Case report: CT and angiographic appearances of intrasplenic mycotic aneurysm. Clin Radiol 44:271–272

    Article  PubMed  CAS  Google Scholar 

  • Baker KS, Tisnado J, Cho SR, et al. (1987) Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolization. Radiology 163:135–139

    PubMed  CAS  Google Scholar 

  • Balcar I, Seltzer SE, Davis S, et al. (1984) CT patterns of splenic infarction: a clinical and experimental study. Radiology 151:723–729

    PubMed  CAS  Google Scholar 

  • Balthazar EJ, Megibow A, Naidich D, et al. (1984) Computed tomographic recognition of gastric varices. AJR Am J Roentgenol 142:1121–1125

    PubMed  CAS  Google Scholar 

  • Balthazar EJ, Hilton S, Naidich D, et al. (1985) CT of splenic and perisplenic abnormalities in septic patients. AJR Am J Roentgenol 144:53–56

    PubMed  CAS  Google Scholar 

  • Bedford BT, Lodge B (1960) Aneurysms of the splenic artery. Gut 1:312–320

    Article  PubMed  CAS  Google Scholar 

  • Bishop NL (1984) Splenic artery aneurysm rupture into the colon diagnosed by angiography. Br J Radiol 57:1149–1150

    Article  PubMed  CAS  Google Scholar 

  • Burke JW, Erickson SJ, Kellum CD, et al. (1986) Pseudoaneurysms complicating pancreatitis: detection by CT. Radiology 161:447–450

    PubMed  CAS  Google Scholar 

  • Busuttil RW, Brin BJ (1980) The diagnosis and management of visceral artery aneurysms. Surgery 88:619–624

    PubMed  CAS  Google Scholar 

  • Cantarero JM, Llorente JG, Hidalgo EG, et al. (1989) Splenic arteriovenous fistula: diagnosis by duplex Doppler sonography. AJR Am J Roentgenol 153:1313–1314

    PubMed  CAS  Google Scholar 

  • Carr SC, Pearce WH, Vogelzang RL, et al. (1996) Current management of visceral artery aneurysms. Surgery 120:627–634

    Article  PubMed  CAS  Google Scholar 

  • Derchi LE, Biggi E, Cicio GR, et al. (1984) Aneurysms of the splenic artery: non-invasive diagnosis by pulsed Doppler sonography. J Ultrasound Med 3:41–44

    PubMed  CAS  Google Scholar 

  • Dochez C, De Roy G (1970) Calcification of the spleen. Fortschr Geb Rontgenstr Nuklearmed 112:274–275

    Article  PubMed  CAS  Google Scholar 

  • Fava C, Grosso M, Spalluto F, et al. (1990) Percutaneous treatment of splenic arteriovenous fistula. Description of a case. Radiol Med (Torino) 80:559–562

    CAS  Google Scholar 

  • Fishmann EK, Wyatt SH, Ney DR, et al. (1992) Spiral CT of the pancreas with multiplanar display. AJR Am J Roentgenol 159:1209–1215

    Google Scholar 

  • Fishmann EK, Soyer P, Bliss DF, et al. (1995) Splenic involvement in pancreatitis: spectrum of CT findings. AJR Am J Roentgenol 164:631–635

    Google Scholar 

  • Gartside R, Gamelli RL (1987) Splenic arteriovenous fistula. J Trauma 27:671–673

    Article  PubMed  CAS  Google Scholar 

  • Goerg C, Schwerk WB (1990) Splenic infarction: sonographic patterns, diagnosis, follow-up, and complications. Radiology 174:803–807

    PubMed  CAS  Google Scholar 

  • Goletti O, Ghiselli G, Lippolis PV, et al. (1996) Intrasplenic posttraumatic pseudoaneurysm: echo colour Doppler diagnosis. J Trauma 41:542–545

    Article  PubMed  CAS  Google Scholar 

  • Golzarian J, Braude P, Bank WO, et al. (1994) Case report: colour Doppler demonstration of pseudoaneurysms complicating pancreatic pseudocysts. Br J Radiol 67:91–93

    Article  PubMed  CAS  Google Scholar 

  • Gudmundsen TE, Lie M, Ostensen H (1988) Splenic arteriovenous fistula. Case report. Eur J Surg 154:603–604

    CAS  Google Scholar 

  • Hashizume M, Ohta M, Ueno K, et al. (1993) Laparoscopic ligation of splenic artery aneurysm. Surgery 113:352–354

    PubMed  CAS  Google Scholar 

  • Ishida H, Konno K, Hamashima Y,et al. (1998) Splenic artery aneurysm: value of colour doppler and the limitation of gray-scale ultrasonography. Abdom Imaging 23:627–632

    Article  PubMed  CAS  Google Scholar 

  • Jaroch MT, Broughan TA, Hermann RE (1986) The natural history of splenic infarction. Surgery 100:743–750

    PubMed  CAS  Google Scholar 

  • Kauzlaric D, Passega E (1986) Atypical sonographic findings in splenic infarction. J Clin Ultrasound 14:461–462

    Article  PubMed  CAS  Google Scholar 

  • Kehagias DT, Tzalonikos MT, Moulopoulos LA, et al. (1998) MRI of a giant splenic artery aneurysm. Br J Radiol 71:444–446

    PubMed  CAS  Google Scholar 

  • Kelekis D, Brountzos EN, Kelekis N, et al. (1995) Splenic aneurysm with arteriovenous fistula. A case report. Hepatogastroenterology 42:352–355

    PubMed  CAS  Google Scholar 

  • Magid D, Fishman EK, Siegelman SS (1984) Computed tomography of the spleen and liver in sickle cell disease. AJR Am J Roentgenol 143:245–249

    PubMed  CAS  Google Scholar 

  • Mandel SR, Jacques PF, Sanofsky S, et al. (1987) Non-operative management of peripancreatic arterial aneurysms. A 10-year experience. Ann Surg 205:126–128

    Article  PubMed  CAS  Google Scholar 

  • Marn CS, Glazer GM, Williams DM, et al. (1990) CT-angiographic correlation of collateral venous pathways in isolated splenic vein occlusion: new observations. Radiology 175:375–380

    PubMed  CAS  Google Scholar 

  • Mattar SG, Lumsden AB (1995) The management of splenic artery aneurysms: experience with 23 cases. Am J Surg 169:580–584

    Article  PubMed  CAS  Google Scholar 

  • McClary D, Finelli DS, Croker B, et al. (1986) Portal hypertension secondary to a spontaneous splenic arteriovenous fistula: case report and review of the literature. Am J Gastroenterol 81:572–575

    PubMed  CAS  Google Scholar 

  • McDermott VG, Shlansky-Goldberg R, Cope C (1994) Endovascular management of splenic artery aneurysms and pseudoaneurysms. Cardiovasc Intervent Radiol 17:179–184

    Article  PubMed  CAS  Google Scholar 

  • Minami, Itai J, Ohtomo K, et al. (1989) Siderotic nodules in the spleen. MR imaging of portal hypertension. Radiology 172:681–684

    PubMed  CAS  Google Scholar 

  • Murayama S, Shimoda Y (1990) Completely thrombosed splenic artery aneurysm mimicking cystic pancreatic mass: computed tomographic findings. Gastrointest Radiol 15:205–206

    Article  PubMed  CAS  Google Scholar 

  • Nishida O, Moriyasu F, Nakamura T, et al. (1986) Hemodynamics of splenic artery aneurysm. Gastroenterology 90:1042–1046

    PubMed  CAS  Google Scholar 

  • Ohta M, Hashizume M, Tanoue K, et al. (1992) Splenic hyperkinetic state and splenic artery aneurysm in portal hypertension. Hepatogastroenterology 39:529–532

    PubMed  CAS  Google Scholar 

  • Petit P, Bret P, Atri M, et al. (1994) Splenic vein thrombosis after splenectomy: frequency and role of imaging. Radiology 190:65–68

    PubMed  CAS  Google Scholar 

  • Piscaglia F, Valgimigli M, Serra C, et al. (1998) Duplex Doppler findings in splenic arteriovenous fistula. J Clin Ultrasound 26:103–105

    Article  PubMed  CAS  Google Scholar 

  • Puttini M, Aseni P, Brambilla G, et al. (1982) Splenic artery aneurysms in portal hypertension. J Cardiovasc Surg Torino 23:490–493

    PubMed  CAS  Google Scholar 

  • Quinn SF, Van Sonnenberg E, Casola G, et al. (1986) Interventional radiology of the spleen. Radiology 161:289–291

    PubMed  CAS  Google Scholar 

  • Rabushka LS, Kawashima A, Fishman EK (1994) Imaging of the spleen: CT with supplemental MR examination. Radiographics 14:307–332

    PubMed  CAS  Google Scholar 

  • Rahmouni A, Mathieu D, Golli M, et al. (1992) Value of CT and sonography in the conservative management of acute splenoportal and superior mesenteric venous thrombosis. Gastrointest Radiol 17:135–140

    Article  PubMed  CAS  Google Scholar 

  • Reidy JF, Rowe PH, Ellis FG (1990) Splenic artery aneurysm embolisation. The preferred technique to surgery. Clin Radiol 41:281–282

    Article  PubMed  CAS  Google Scholar 

  • Roshkow JE, Sanders LM (1990) Acute splenic sequestration crisis in two adults with sickle cell disease: US, CT, and MR imaging findings. Radiology 177:723–725

    PubMed  CAS  Google Scholar 

  • Rypens F, Devière J, Zalcman M, et al. (1997) Splenic parenchymal complications of pancreatitis: CT findings and natural history. J Comput Assist Tomogr 21:89–93

    Article  PubMed  CAS  Google Scholar 

  • Sarioglu A, Tanyel FC, Ariyurek M, et al. (1995) Aneurysmatic arteriovenous fistula complicating splenic injury. Eur J Pediatr Surg 6:183–185

    Article  Google Scholar 

  • Shleapnik M, Shpitz B, Siegal A, et al. (1990) Bleeding oesophageal varices and portal hypertension caused by arteriovenous fistula of splenic artery. HPB Surg 3:53–57

    Article  PubMed  CAS  Google Scholar 

  • Short DH, Puyau MK, Sauls JL, et al. (1985) Use of digital subtraction angiography in the diagnosis of splenic artery aneurysms. Am Surg 51:606–608

    PubMed  CAS  Google Scholar 

  • Stallard DJ, Tu RK, Gould MJ, et al. (1994) Minor vascular anatomy of the abdomen and pelvis: a CT atlas. Radiographics 14:493–513

    PubMed  CAS  Google Scholar 

  • Trastek VF, Pairolero PC, Joyce JW, et al. (1982) Splenic artery aneurysms. Surgery 91:694–699

    PubMed  CAS  Google Scholar 

  • Venbrux AC, Dachman AH, Fishman EK (1993) Friedman AC (eds) Radiology of the spleen. Mosby Year Book, St. Louis, pp 171–

    Google Scholar 

  • Vujic I (1989) Vascular complications of pancreatitis. Radiol Clin North Am 27:81–91

    PubMed  CAS  Google Scholar 

  • Walker TG, Geller SC, Waltman AC (1988) Splenic artery pseudoaneurysms causing lower gastrointestinal hemorrhage. AJR Am J Roentgenol 150:433–434

    PubMed  CAS  Google Scholar 

  • Weingarten MJ, Fakhry J, MacCarthy J, et al. (1984) Sonography after splenic embolization: the wedge-shaped acute infarct. AJR Am J Roentgenol 142:957–959

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hoeffel, C.C. (2000). Vascular Pathology of the Spleen. In: De Schepper, A.M., Vanhoenacker, F. (eds) Medical Imaging of the Spleen. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57045-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-57045-2_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62997-6

  • Online ISBN: 978-3-642-57045-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics