0
ARTICLE |

Splenic Infarction Diagnosed Preoperatively by Photoscanning

Wil B. Nelp, MD; Irvin N. Kuhn, MD
JAMA. 1966;197(5):368-371. doi:10.1001/jama.1966.03110050106031.
Text Size: A A A
Published online

THE DIAGNOSIS of infarction of the spleen in patients who present with left-upper-quadrant abdominal pain is difficult to prove by the usual diagnostic techniques. Radioisotope photoscanning, after administering isotopes which selectively concentrate in the spleen, is a relatively new and useful diagnostic procedure specifically directed at clarifying splenic disease. The following report of two cases of infarction of the spleen, due to arterial emboli originating from infected vascular prostheses, illustrates the usefulness of photoscanning for the diagnosis of intrasplenic disease.

Techniques of Spleen Scanning  Visualization of the spleen by scanning depends upon attaining a selective concentration of radioactivity in the spleen, which is higher than that in the surrounding tissue. Since the distribution of the isotope within the spleen represents only functioning tissue, areas of destroyed function such as caused by infarction will be delineated as regions without radioactivity.Spleen scanning was originally performed by injecting red blood cells treated

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();