Seurat spleen

Last revised by Yuranga Weerakkody on 26 Sep 2019

Seurat spleen is an angiographic appearance seen following blunt trauma to the spleen. Multiple small punctate regions of intraparenchymal contrast extravasation lead to a spotted appearance.

Pathology

Several mechanisms are thought to to attribute to this appearance which include sinusoidal stasis, traumatic artenio-venous aneurysm, contrast leakage from fragmented sinusoids, stasis of blood and contrast material within marginal sinuses because of contusion, hematoma and hypotension. 

History and etymology

The term refers to a likeness between the angiographic appearance and the artwork of French impressionist Georges Seurat (1859-1891) who used a pointillist technique to create an image out of tiny dots 1.

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