Practical Handbook of Endoscopic Ultrasonography by Kazuya Akahoshi & Amol Bapaye

Author:Kazuya Akahoshi & Amol Bapaye
Language: eng
Format: epub
Publisher: Springer Japan, Tokyo

11.Spleen – Angle the tip upwards and pull back the endoscope to see the spleen. Visualize the splenic hilum with the splenic vessels and the pancreatic tail (Fig. 12.10). Minor scope tip deflections along with rotation are necessary to obtain good quality views.

Fig. 12.10Linear EUS at station 1 showing the spleen, splenic hilum and pancreatic tail

12.Left adrenal gland – Slight CCW rotation from this point brings the AA partly in view on the right of the screen, with the upper pole of the LK on the left. The left adrenal gland is seen in this position, closer to the gastric wall and the AA than to the LK. It is seen as a characteristic sea gull shaped hypoechoic structure (Fig. 12.11).

Fig. 12.11Left adrenal gland (LAG) seen on linear EUS from station 1. LAG lies closer to the stomach and AA than the LK. The best views of the LAG are seen when the AA is partly in view and the LK disappearing from the screen

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