- 비장농양의 방사선학적 관점
- ㆍ 저자명
- 장재천
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1988년|24권 6호|pp.1081-1089 (9 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Splenic abscess is not a common disease and has been infrequently diagnosed during lift because of vague sympton and the presence of underlying disease. However advent of newer diagnostic imaging and interven-tional technology have augmented our ability to diagnose and teat the abscess. Authors exprienced eitht cases of spenic abscess which were confirmed by operation or aspiration and herein we discribe the radilolgical viewpoint and clinical course. Summary is follows: 1. Radiological finding was well defined noncontrast enhancing wedge or lentiform lower density lesion either single or multiple focal or massive parenchymal or subcapsular in location. Progrosis was favorable in focal parenchymal lesion after medical treatment. 2. Pancreatitis is the most common combined disease and this made the localization delay. 3. High incidence of sterile culture suggests possibility of anaerobic or fungal infection. 4. Hypoechoic lesion suggesting splenic abscess should be aspirated under the guidance of ultrasound and The aspirate should be cultured including anaerobic and fungus. C.T. scan should be done for better evaluation of the lesion. 5. According to pathology organism and loculation pattern various treatment modalities can be considered rather than routine splenenectomy.