ArticleInsights into imaging2013
Computed tomography of the spleen: how to interpret the hypodense lesion.
Article in Insights into imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Differentiating malignant from benign splenic lesions: a meta-analysis and pictorial review of imaging features.Abdominal radiology (New York) · 2024Pooled it
- Predictive factors for post-embolization infarction and long-term splenic remodeling in patients undergoing splenic artery aneurysm embolization.Frontiers in surgery · 2026Article
- On the mechanisms of stress-induced human spleen contraction: training for a higher blood oxygen-carrying capacity.European journal of applied physiology · 2024Review
- Incidental Focal Spleen Lesions: Integrated Imaging and Pattern Recognition Approach to the Differential Diagnosis.Diagnostics (Basel, Switzerland) · 2023Review
- The Spectrum of Solitary Benign Splenic Lesions-Imaging Clues for a Noninvasive Diagnosis.Diagnostics (Basel, Switzerland) · 2023Review
- Splenic Cysts and the Case of Mistaken Identity.Cureus · 2022Article
- A Primary Extraskeletal Osteosarcoma of the Spleen: Rare Case Report.Frontiers in oncology · 2022Article
- Cross-sectional imaging findings of splenic infections: is differential diagnosis possible?Abdominal radiology (New York) · 2021Review
- Mesothelial cyst of the spleen mimicking a metastasis: a case report.The Journal of international medical research · 2021Article
- Primary Splenic Lymphoma: An Uncommon Cause of Persistent Fever Diagnosed by Examining the "Forgotten Organ".JMA journal · 2021Article
- Splenic incidentaloma on routine chest radiography before admission to a nursing home.BMJ case reports · 2021Article
- Splenic abscess after arterial embolization: a rare cause of acute abdomen.Journal of surgical case reports · 2020Article
- Splenic abscess complicated by pleural empyema: A rare case report from rural Nepal.International journal of surgery case reports · 2020Article
- Unusual pseudocyst in a wandering spleen.BMJ case reports · 2019Article
- Splenic infarction secondary to myelodysplastic syndrome: unravelling more etiologies.AME case reports · 2019Article
- Splenic granulomas: a rare manifestation ofBMJ case reports · 2018Article
- Fever of unknown origin due to primary tubercular splenic abscess in a low-income/middle-income country.BMJ case reports · 2018Article
- Unexpected finding of splenic peliosis in a traumatic spleen in a patient with cleidocranial dysplasia.SA journal of radiology · 2018Article
- Case report of successful partial splenectomy for a splenic abscess in a paediatric patient.International journal of surgery case reports · 2017Article
- Treatment of Hypersplenism by Partial Splenic Embolization Through Gastric Collaterals.Journal of radiology case reports · 2016Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the largest single lymphatic organ in the human body, the spleen is responsible for central immunological and haematological tasks. Therefore, the spleen can be subject to a wide range of pathologic disorders. Computed tomography (CT) represents the most widely applied cross-sectional abdominal imaging technique and is considered the imaging modality of choice for the evaluation of numerous abdominal pathological conditions. Hypodense splenic lesions are frequently encountered on abdominal CT images. Although most hypodense lesions of the spleen can be considered benign, some findings and clinical conditions warrant closer attention to the lesion. CT offers a number of morphological criteria that can be applied to differentiate hypodense lesions of the spleen, such as a the appearance of a lesion's borders, its attenuation, as well as the presence of calcifications or solid components.
methodsThis article reviews the most common splenic pathologies leading to hypodense appearances on CT images and illustrates the key CT imaging findings in the context of the clinical history of the patients.
conclusionThe key imaging findings of hypodense splenic lesions are presented in order to aid interpretation during routine evaluation of abdominal CT images. TEACHING POINTS: • Haemangiomas, congenital in origin, represent the most common benign lesions of the spleen. • Lymphoma represents the most common malignant tumour of the, usually secondarily involved, spleen. • Most hypodense splenic lesions on CT represent benign lesions that require no further work-up. • For correct interpretation, hypodense splenic lesions need to be evaluated in the clinical context.
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Registered trials
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