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Splenomegaly

Case Study
Philips CT Clinical Science Philips Healthcare • USA

Clinical history

This 12 year-old female with refractory Evans syndrome presented at Phoenix Children's Hospital with abdominal pain, distention and diarrhea. She was admitted for bowel decompression and pain management. Given her history of recurrent diarrhea and refractory Evans syndrome, there was some concern that there was a different or additional underlying condition predisposing her to recurrent infection.

She was then referred for an abdomen CT scan. The technologist used the IQon Spectral CT scanner and Spectral CT Viewer to perform the exam.
Left image: Conventional CT; Right image: 45 keV MonoE
Left image: Conventional CT; Right image: 45 keV MonoE

Diagnosis

The images acquired on the IQon Spectral CT showed splenomegaly. Circumferential gastric wall thickening mid to distal stomach and pylorus as above. Differential considerations include generalized gastritis/edema and/or inflammation, gastric lymphoma is considered, although there is no significant regional adenopathy, less likely gastrointestinal stromal tumor (GIST) secondary to relative low density of the gastric wall.

Clinical significance

The low MonoE images acquired on the IQon Spectral CT improved the visualization of the vascular structures of the abdomen, enabling a lower prescribed threshold of contrast dose for the pediatric patient.

* Results from case studies are not predictive of results in other cases. Results in other cases may vary.


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Aug 17, 2018

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Case Study
IntelliSpace Portal, IQon Spectral CT
abdomen, abdominal pain, Body, bowel, lymphoma, MonoE, Pediatric, spectral CT, Spectral CT Viewer, tumor, Vascular
 

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