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Prevention of life-threatening bleeding complication from splenic venous ectasia by B-mode-, color Doppler- and contrast-enhanced ultrasound in a patient with ALL

Evelyn Martin
Evelyn Martin
, 
Christian Görg
Christian Görg
, 
Amjad Alhyari
Amjad Alhyari
, 
Ehsan Safai Zadeh
Ehsan Safai Zadeh
, 
Hajo Findeisen
Hajo Findeisen
 e 
Corinna Trenker
Corinna Trenker
   | 27 feb 2024
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Article Category: Case report
Pubblicato online: 27 feb 2024
Pagine: -
Ricevuto: 20 mar 2023
Accettato: 12 mag 2023
DOI: https://doi.org/10.15557/jou.2024.0006
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© 2024 Evelyn Martin et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

B-US shows splenomegaly with inhomogeneous parenchyma and multiple cyst-like lesions (A, B). In color Doppler sonography (CDS), these lesions present low-impedance continuous venous flow signal (C, D). Contrast-enhanced sonography (CEUS) after one (E) and 6 minutes (F) revealed the echo-free lesions suspected for venous ectasias
B-US shows splenomegaly with inhomogeneous parenchyma and multiple cyst-like lesions (A, B). In color Doppler sonography (CDS), these lesions present low-impedance continuous venous flow signal (C, D). Contrast-enhanced sonography (CEUS) after one (E) and 6 minutes (F) revealed the echo-free lesions suspected for venous ectasias

Fig. 2.

Contrast-enhanced computed tomography (CT) presents a splenomegaly with inhomogeneous contrast uptake (arrow) (courtesy of Prof. Dr. Mahnken, Department of Radiology, Marburg)
Contrast-enhanced computed tomography (CT) presents a splenomegaly with inhomogeneous contrast uptake (arrow) (courtesy of Prof. Dr. Mahnken, Department of Radiology, Marburg)

Fig. 3.

During short-term follow-up, B-US, CDS and CEUS showed size progression of the “cyst-like” vascular lesions
During short-term follow-up, B-US, CDS and CEUS showed size progression of the “cyst-like” vascular lesions

Fig. 4.

Organ preparation after emergency splenectomy shows macroscopically organ rupture (A). Overview of the rupture site (top) with parenchymal bleeding (bottom right) (B). In HE 1:20, splenic rupture with capsule and parenchymal defect were seen. The overview shows no typical architecture of the spleen with red and white pulp. C. In HE (magnification ×200), diffuse infiltration of the red pulp/spleen parenchyma by ALL-blasts with enlarged vesicular nucleoli and only a small cytoplasm was observed (courtesy of Dr. A. Ramaswamy, Department of Pathology, Marburg)
Organ preparation after emergency splenectomy shows macroscopically organ rupture (A). Overview of the rupture site (top) with parenchymal bleeding (bottom right) (B). In HE 1:20, splenic rupture with capsule and parenchymal defect were seen. The overview shows no typical architecture of the spleen with red and white pulp. C. In HE (magnification ×200), diffuse infiltration of the red pulp/spleen parenchyma by ALL-blasts with enlarged vesicular nucleoli and only a small cytoplasm was observed (courtesy of Dr. A. Ramaswamy, Department of Pathology, Marburg)
eISSN:
2451-070X
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Basic Medical Science, other
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