Semin intervent Radiol 2012; 29(04): 301-310
DOI: 10.1055/s-0032-1330064
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Image-Guided Percutaneous Splenic Biopsy and Drainage

Jennifer Sammon
1   Department of Radiology, Cork University Hospital and University College Cork, Wilton, Cork, Ireland
,
Maria Twomey
1   Department of Radiology, Cork University Hospital and University College Cork, Wilton, Cork, Ireland
,
Lee Crush
1   Department of Radiology, Cork University Hospital and University College Cork, Wilton, Cork, Ireland
,
Michael M. Maher
1   Department of Radiology, Cork University Hospital and University College Cork, Wilton, Cork, Ireland
,
Owen J. O'Connor
2   Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
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Publikationsdatum:
11. Dezember 2012 (online)

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Abstract

Percutaneous splenic biopsy and drainage are relatively safe and accurate procedures. The risk of major complication (1.3%) following percutaneous splenic biopsy does not exceed that of other solid intra-abdominal organ biopsies, and it has less morbidity and mortality than splenectomy. Both computed tomography and ultrasound can be used to provide image guidance for biopsy and drainage. The safety profile of fine-needle aspiration cytology is better than core needle biopsy, but core biopsy has superior diagnostic accuracy.