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Esplenomegalia e Infartos

Esplenomegalia e Infartos

Dr. Bruno Sagástegui Aguilar

Dr. Bruno Sagastegui
  • Nombre del caso: ESPLENOMEGALIA e INFARTOS.
  • Nombre del autor: Dr. Bruno Sagástegui Aguilar.
  • Puesto de trabajo del autor: Centro de trabajo: Centro Ecográfico SONOSCAN (Privado) y Centro de Diagnóstico por Imágenes TOMONORTE (Privado) Trujillo – PERÚ.
  • Clínica y exploración: Paciente femenino de 35 años presenta dolor en el flanco izquierdo sintiendo un «abultamiento» por debajo del reborde costal al momento de la inspiración profunda. Paciente tiene diagnóstico de mononucleosis infecciosa. Médico tratante le solicita ecografía hepatobiliar. Niega otros síntomas. No antecedentes de cirugía ni de trauma.
  • Hallazgos ecográficos: Se aprecia bazo aumentado de tamaño con presencia de 2 lesiones hipoecogénicas avasculares de bordes discretamente irregulares con fino halo ecogénico en cuyo interior se identifican finas líneas hiperecogénicas (reflectantes-especulares) perpendiculares al haz del ultrasonido (Signo de la banda brillante). Ambas presentan forma en cuña en el corte sagital y forma ovalada en corte axial, localizadas en el tercio medio. (Imágenes 1 y 2 – Vídeos 1 al 3)
  • Diagnóstico:  Los hallazgos son compatibles con bazo aumentado de tamaño con presencia de infartos.

Casos Clínicos

  • Por ARTICULACIÓN
    • Mano y Muñeca
    • Codo
    • Otros
  • Por AUTOR
    • Dr. Américo E. Villalobos
    • Dr. Bruno Sagástegui
    • Dr. Sosa, Gustavo Luis

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Sociedad Española de Ecografía

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