Imaging Pearls ❯ Spleen ❯ LUQ Pain
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- Differential Diagnosis of Acute LUQ Pain
Gastric
• Gastritis
• Gastric ulcer/PUD complex
• Volvulus and gastric outlet obstruction
• Postoperative complication
• Laparoscopic Roux-en-Y gastric bypass
• Gastric banding - Differential Diagnosis of Acute LUQ Pain
• LUQ complications of pancreatitis
• Pseudocysts and fluid collections in the lesser sac, subphrenic space, and LUQ subperitoneal space
• ntrasplenic pseudocysts, hemorrhage, infarct
• Gastric wall
• Colonic spasm, obstruction, and adynamic ileus
• Pseudoaneurysm of the splenic artery
• Splenic vein thrombosis - Differential Diagnosis of Acute LUQ Pain
LUQ complications of pancreatitis
• Pseudocysts and fluid collections in the lesser sac, subphrenic space, and LUQ subperitoneal space
• Intrasplenic pseudocysts, hemorrhage, infarct
• Gastric wall
• Colonic spasm, obstruction, and adynamic ileus
• Pseudoaneurysm of the splenic artery
• Splenic vein thrombosis - Differential Diagnosis of Acute LUQ Pain
LUQ complications
• Splenic flxure
• Jejenum
• Left kidney
• Renal colic - Differential Diagnosis of Acute LUQ Pain
• Left kidney
• Renal colic
Pyelonephritis and renal abscess
• Left adrenal hemorrhage
• Left subphrenic absces
• Diseases of the left hemithorax
• Pulmonary disease (eg, left lower lobe pneumonia)
• Diseases of the heart and pericardium (eg, coronary infarction)
• Diaphragmatic hernias - Splenic Infarction: Causes
• Hematologic
• Hemoglobinopathies: sickle cell disease, sickle cell trait, and hemoglobin sickle cell disease
• Hematologic malignancy: leukemias, polycythemia vera
• Infectious
• Mononucleosis
• AIDS
• Malaria
• Sepsis (especially meningococcal)