CT features of splenic infarction and abscesses caused by carcinoma of body and tail of pancreas

Abstract

Objective To discuss the CT features and clinic significance of splenic infarction and abscesses caused by carcinoma of body and tail of pancreas involved the splenic artery and spleen vein.Methods Retrospective analysis was conducted to study the manifestations of spiral CT of 16 cases of carcinoma of body and tail of pancreas with splenic infarction and abscess.Results The splenic artery and vein were invaded in all 16 cases,it showed the splenic artery and vein were pulled or bag around,the caliber thinner or uneven thickness,the edge was coarse,the degree of strengthening of splenic vessel reduced and appeared circuitous vascular shadows between the stomach and spleen clearance etc,8 cases directly infiltrated the spleen,showing the fat clearance between pancreatic tail and spleen fuzzy and higher density,and 14 cases appeared splenic infarction,it showed the wedge non enhancement at periphery of the spleen,4 eases appeared splenic abscess,with the qusic-circular or faviform non enhancement.Conclusion The CT features with carcinoma of body and tail of pancreas involving the spleen were infinite various,it can increase diagnostic accuracy of carcinoma of body and tail of pancreas through a deeper understanding,reducing misdiagnosis,and provides the basis for clinical take proper treatment. Key words: Carcinoma of body and tail of pancreas; Splenic artery; Spleen vein; Splenic infarction; Splenic abscess