THE ROLE OF ULTRASONOGRAPHY AND COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF SPLENIC LESIONS

Abstract

The spleen is the second large organ in the r ticuloendothelial system. Splenic lesions are either focal or diffuse . Presence of splenic pathology is not always associated withenlargement of the spleen as there are many types of splenic lesions without splenomegaly. Focal splenic lesions may be due to trauma, vascular lesions, inflammatory or neoplastic lesions either primary or secondary. •I Splenic imaging is essential for detection of splenic size, focal lesion as regard to its size, number and nature. j,. Jro this study 27 patients who suspected to have splenic lesions and were examined with ultrasonography (all patients) and spiral computed tomogr:: phy (25 patients )in order to study the role of both imaging modality in the diagnosis of splenic lesions and determination of J ultrasonographic and spiral computed tomography manifestations of different splenic pathological entities. ' J Fifteen patients were males and twelve were females, with their J ranging from 5-80 years. Full history taking, clinical examination, laboratory investigation were done for all patients e main presenting symptoms were loss of weight, mass in the left Th hypochondrium, enlarged lymph nodes, fever and pain in the left hypochondrium .There were some patients presented with more than one t• complaint.