Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Klippenstein, D. L.
Right arrow Articles by Donn, S. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Klippenstein, D. L.
Right arrow Articles by Donn, S. M.

Radiology, Vol 190, 411-412, Copyright © 1994 by Radiological Society of North America

ARTICLES

Splenic enlargement in neonates during ECMO

DL Klippenstein, JM Zerin, RB Hirschl and SM Donn
Department of Radiology, University of Michigan Hospitals, Ann Arbor.

PURPOSE: To determine whether hepatosplenomegaly was a reproducible finding in seven neonates who were being treated with extracorporeal membrane oxygenation (ECMO) for respiratory failure. MATERIALS AND METHODS: The authors measured splenic and hepatic dimensions with ultrasound (US) at the time ECMO was initiated and then every 24-48 hours until decannulation. Splenic volume and the index of hepatic size were calculated by using published formulas. RESULTS: Splenic volume increased in all seven patients from 8.3 cm3 +/- 1.7 to 16.4 cm3 +/- 4.4 (P < or = .001). Hepatic size did not change markedly. CONCLUSION: Hemolysis, leukopenia, and platelet activation occur during ECMO. Rapid splenic enlargement may be secondary to sequestration of red cells, platelets, and other hematologic elements that have been damaged in the ECMO circuit. Since the liver does not also increase in size, the splenic enlargement is unlikely to be the result of passive congestion.


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
S. Megremis, A. Alegakis, and M. Koropouli
Ultrasonographic Spleen Dimensions in Preterm Infants During the First 3 Months of Life
J. Ultrasound Med., March 1, 2007; 26(3): 329 - 335.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
A. M. Barnacle, L. C. Smith, and M. P. Hiorns
The Role of Imaging During Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure
Am. J. Roentgenol., January 1, 2006; 186(1): 58 - 66.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
A. Paterson, D. P. Frush, L. F. Donnelly, J. N. Foss, S. M. O'Hara, and G. S. Bisset III
A Pattern-oriented Approach to Splenic Imaging in Infants and Children
RadioGraphics, November 1, 1999; 19(6): 1465 - 1485.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1994 by the Radiological Society of North America.