Synopses & Reviews
This is the first book devoted solely to ultrasonography of the spleen. Its particular value to the reader can be explained by several factors: firstly, ultrasonography is the first examination to be performed after physical examination; secondly, splenic ultrasound can be performed rapidly in emergency settings and in an infectious context; thirdly, it is a necessary procedure for epidemiological work in regions such as Africa, where parasitoses are endemic; and, finally, it is useful for the work-up of neoplasms. The book is divided into chapters covering normal sonoanatomy of the spleen, congenital malformations, splenic trauma, tumors, infections, and involvement in parasitoses. In all chapters, the advantages of ultrasound examination are compared with those of other imaging techniques, and the role of ultrasonography in strategies for splenic exploration is defined as a function of the clinical setting. The book thereby allows optimal utilization of ultrasonography based on a thorough understanding of splenic pathology.
Synopsis
Only a few years ago, most treatises on sonography covered all the diagnostic applications of ultrasound, de- scribing organs from the brain down to the placenta. Dr. Bruneton and his associates must be thanked for pre- senting this book devoted to the spleen. It probably offers the most complete presentation of details and the richest images available in its field. This book will thus become the ultimate reference in most libraries of books on son- ography. March 1988 F. Weill The authors wish to thank Christine Rostagni, Fran ise Fein, and Bernard Fontaine for their assistance in the preparation of this book. Contents 1 Sonographic Anatomy of the Normal Spleen, Normal Anatomic Variants, and Pitfalls B. Senecail . . . . . . . . . . . . . . . . . . . . . . 1 1. 1 Anatomy of the Spleen. . . . . . . . . . . . . . . . 1 1. 1. 1 Morphology and Structure . . . . . . . . . . . . . 1 1. 1. 2 Location and Relations of the Spleen. . . . . . . . 3 1. 1. 3 Average Dimensions of the Cadaver Spleen . . . . 5 1. 1. 4 Congenital Anomalies and Normal Variants. . . . 5 1. 1. 4. 1 Fissured Spleen. . . . . . . . . . . . . . . . . . . . 5 1. 1. 4. 2 Lobulated Spleen. . . . . . . . . . . . . . . . . . . 5 1. 1. 4. 3 Spleen with Two Hili. . . . . . . . . . . . . . . . . 5 1. 1. 4. 4 Wandering or Ectopic Spleen . . . . . . . . . . . . 6 1. 1. 4. 5 Numeric Anomalies . . . . . . . . . . . . . . . . . 6 Ultrasonography of the Spleen . . . . . . . . . . . 1. 2 6 1. 2. 1 Equipment . . . . . . . . . . . . . . . . . . . . . . 6 1. 2. 2 Patient Examination . . . . . . . . . . . . . . . . . 7 1. 2. 3 Scanning Technique . . . . . . . . . . . . . . . . . 7 1. 3 Sonographic Features of the Normal Spleen. . . . 7 1. 3. 1 Splenic Contour . . . . . . . . . . . . . . . . . . . 7 1. 3. 2 Echo Pattern of the Splenic Parenchyma. . . . . .
Table of Contents
Contents: Sonographic Anatomy of the Normal Spleen, Normal Anatomic Variants, and Pitfalls.- Congenital Anomalies of the Spleen.- Splenic Trauma.- Splenic Tumors.- Splenic Abscess and Infarction.- Splenic Involvement in Parasitoses.- Subject Index.