ENDOCRINE IMAGE |
https://doi.org/10.5005/jp-journals-10002-1423 |
Splenic Vein Sign
1,2Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3,4Department of Radiology and Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Corresponding Author: Amit Agarwal, Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India, Phone: +91 9335291120, e-mail: amitsgpgi@rediffmail.com
How to cite this article: Idrees S, Agarwal A, Gupta A, et al. Splenic Vein Sign. World J Endoc Surg 2022;14(1):34-34.
Source of support: Nil
Conflict of interest: None
In a patient presenting with a cystic mass in left sided retroperitoneum, it is always a challenge to differentiate between a pseudopancreatic cyst from tail of pancreas or an adrenal cyst. One can utilize the splenic vein sign. On CECT, if the cyst is lying below the splenic vein (Fig. 1A) then it is likely to be an adrenal cyst while if the cyst is above the splenic vein, then is likely to be arising from the pancreas (Fig. 1B). Thus, this sign can be used by clinicians to ascertain the origin of left-sided retroperitoneal cyst.
Figs 1A and B: (A) Adrenal cyst lying below the splenic vein; (B) Pseudopancreatic cyst lying above the splenic vein
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