Splenic infarction is an important clinical consideration in older patients complaining of left upper quadrant pain of sudden onset. Sonography has proven to be of great value in evaluating splenic masses and in differentiating solid, cystic, and complex lesions. 1-5 Sonographically, splenic in-
Splenic involvement in Gaucher's disease: Sonographic findings
โ Scribed by Paul G. Stevens; Sheila S. Kumari-Subaiya; Leonard B. Kahn
- Publisher
- John Wiley and Sons
- Year
- 1987
- Tongue
- English
- Weight
- 434 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0091-2751
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โฆ Synopsis
Gaucher's disease is a familial disorder of lipid metabolism resulting in the accumulation of glucocerebrosides in the reticuloendothelial cells. It is manifested clinically by hepatosplenomegaly. To date there have been no reports of sonographic findings in the spleen in Gaucher's disease. Focal anechoic lesions in the spleen have previously been cited in the 1iterature.l~~ We wish to report an unusual case of a patient with previously diagnosed Gaucher's disease who presented to our institution with a pancreatic head mass and multiple well-defined hypoechoic areas in his spleen simulating metastases. However, on pathologic examination, these areas were found to represent nodular areas of fibrosis secondary to Gaucher's disease.
๐ SIMILAR VOLUMES
Massive splenomegaly is a frequent finding in patients with Gaucher disease, the most common of the sphingolipidoses. Even so, the risk for splenic rupture and intracapsular hemorrhage has not been emphasized due to the rarity of this occurrence and the fibrotic, rubbery consistency of splenic tissu