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Figure 7. 29-year-old patient with varicella sepsis and pain in the left upper abdomen. (a) Ultrasound of the spleen showed diffuse inhomogeneity of the splenic parenchyma (s). The spleen is covered by a hypoechoic mass suggesting subcapsular haematoma (H), classified for grade 2 splenic injury, (from reference [5] with the permission of the publisher). (b) On ultrasound follow-up 1 year later a small spleen was seen without flow signals by colour Doppler ultrasound (from Görg C, Schwerk WB (2000: Milz. In: Braun B, Günther R, Schwerk WB (Hrsg.). Ultraschalldiagnostik, Ecomed Verlagsgesellschaft, with the permission of the publisher). (c) Splenic scintigraphy using 270mbq 99Tcm-MDP. Physiological concentrations in the liver and an absent nuclide concentration in the spleen 20 min after injection, indicating functional asplenia.
