radiologyРадиология — практикаRadiology - Practice2713-0118Центральный научно-исследовательский институт лучевой диагностики10.52560/2713-0118-2022-4-42-56radiology-322Research ArticleПРОДОЛЖЕННОЕ МЕДИЦИНСКОЕ ОБРАЗОВАНИЕCONTINUING MEDICAL EDUCATIONМассивный инфаркт селезенки у ребенка. Обзор литературы и собственные наблюденияMassive Splenic Infarction in a Child. Literature Review and Comparative Observationshttps://orcid.org/0000-0003-3757-8001ОльховаЕ. Б.OlkhovaE. B.

Ольхова Елена Борисовна, доктор медицинских наук, профессор, профессор кафедры лучевой диагностики; заведующая отделением ультразвуковой диагностики 

127206, г. Москва, ул. Вучетича, д. 9а

+ 7(495) 611-01-77

Olkhova Elena Borisovna, M. D. Med., Professor, Professor of Department of Radiology; the Head of Department of the Ultrasound Diagnostic 

9а, ul. Vucheticha, Moscow, 127206

+7 (495) 611-01-77

elena-olchova@bk.ruhttps://orcid.org/0000-0002-0412-4938ШолоховаН. А.SholokhovaN. A.

Шолохова Наталия Александровна, кандидат медицинских наук, доцент кафедры лучевой диагностики; заведующая отделением лучевой диагностики 

107014, г. Москва, ул. Рубцовско-Дворцовая, д. 1/3

+7 (495) 611-01-77

Sholokhova Nataliya Aleksandrovna, Ph. D. Med., Assistant Professor of Department of Radiology; ; the Head of Department of the Ultrasound Diagnostic 

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

+7 (495) 611-01-77

sholohova@bk.ruhttps://orcid.org/0000-0002-2070-7607МукасееваТ. В.MukaseevaT. V.

Мукасеева Татьяна Викторовна, кандидат медицинских наук, врач отделения ультразвуковой диагностики

107014, г. Москва, ул. Рубцовско-Дворцовая, д. 1/3

+7 (499) 268-83-87

Mukaseeva Tatyana Viktorovna, Ph. D. Med., Radiologist of Department of the Ultrasound Diagnostic

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

+7 (499) 268-83-87

tatiana-mukaseeva@mail.ruhttps://orcid.org/0000-0001-9330-3542ШамратоваН. Р.ShamratovaN. R.

Шамратова Наталия Ринатовна, врач-педиатр педиатрического отделения

107014, г. Москва, ул. Рубцовско-Дворцовая, д. 1/3

+7 (495) 603-31-73

Shamratova Nataliia Rinatovna, Pediatrician

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

+7 (495) 603-31-73

shamratova92@gmail.comhttps://orcid.org/0000-0002-5806-191XСавицкаяН. А.SavitskayaN. A.

Савицкая Наталья Александровна, кандидат медицинских наук, заведующая педиатрическим отделением

107014, г. Москва, ул. Рубцовско-Дворцовая, д. 1/3

+7 (495) 603-31-73

Savitskaya Natalia Alexandrovna, Ph. D. in Medicine, the Head of Department of the Pediatric

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

+7 (495) 603-31-73

nata-savick@mail.ruhttps://orcid.org/0000-0002-3920-9421ЛуковкинаО. В.LukovkinaO. V.

Луковкина Ольга Вячеславовна, врач-рентгенолог отделения лучевой диагностики

107014, г. Москва, ул. Рубцовско-Дворцовая, д. 1/3

+7 (499) 268-22-65

Lukovkina Ol’ga Vyacheslavovna, Radiologist of the X-ray Department

1/3, ul. Rubtsovsko-Dvortsovaya, Moscow, 107014

+7 (499) 268-22-65

lukovkinaov@yandex.ruФГБОУ ВО «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава России; ГБУЗ «Детская городская клиническая больница святого Владимира Департамента здравоохранения города Москвы»РоссияMoscow State University of Medicine and Dentistry named after A. I. Evdokimov, Department of Radiology, Ministry of Healthcare of Russia; Moscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of MoscowRussian FederationГБУЗ «Детская городская клиническая больница святого Владимира Департамента здравоохранения г. Москвы».РоссияMoscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of MoscowRussian FederationГБУЗ "Детская городская клиническая больница святого Владимира Департамента здравоохранения г. Москвы"РоссияMoscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of MoscowRussian FederationГБУЗ «Детская городская клиническая больница святого Владимира Департамента здравоохранения г. Москвы»РоссияMoscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of MoscowRussian Federation202210062022044256Copyright © Ольхова Е.Б., Шолохова Н.А., Мукасеева Т.В., Шамратова Н.Р., Савицкая Н.А., Луковкина О.В., 20222022Ольхова Е.Б., Шолохова Н.А., Мукасеева Т.В., Шамратова Н.Р., Савицкая Н.А., Луковкина О.В.Olkhova E.B., Sholokhova N.A., Mukaseeva T.V., Shamratova N.R., Savitskaya N.A., Lukovkina O.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.radp.ru/jour/article/view/322

Массивный инфаркт селезенки (ИС) — крайне редкое заболевание в детском возрасте, генез которого не всегда ясен. Наиболее часто у детей ИС развивается на фоне онкогематологических (в частности, миелобластный лейкоз), гематологических (серповидноклеточная анемия) и инфекционных (малярия, мононуклеоз, цитомегаловирусная инфекция) заболеваний и имеет небольшие размеры. Представлены 2 собственных наблюдения, уникальные отсутствием четкой причины возникновения ИС и массивностью поражения. В первом случае 10-летняя девочка поступила в стационар примерно на 10-е сутки заболевания с жалобами на неопределенные боли в животе, по поводу которых она уже дважды обращалась в другие стационары г. Москвы. ИС был заподозрен на УЗИ и подтвержден на КТ с внутривенным болюсным контрастированием, а в дальнейшем прослежена эхографическая динамика ИС на протяжении более 2 мес. На фоне антикоагулянтной, антибактериальной и симптоматической терапии было достигнуто выздоровление. Во втором случае тотальный ИС наблюдался у недоношенного младенца с полиорганной недостаточностью крайней степени выраженности. Публикация обширно иллюстрирована и содержит краткий обзор литературы.

Massive splenic infarction (SI) is an extremely rare disease in childhood, the genesis of which is not always clear. Most often in children, SI develops against the background of oncohematological (in particular, myeloid leukemia), hematological (sickle cell anemia) and infectious (malaria, mononucleosis, cytomegalovirus infection) diseases and is small in size. Two own observations are presented, unique in the absence of a clear cause of SI and the massiveness of the lesion. In the first case, a 10­year­old girl was admitted to the hospital on about the 10th day of illness with complaints of undefined abdominal pain, about which she had already twice applied to other hospitals in Moscow. SI was suspected on ultrasound and confirmed on CT, and then the echographic dynamics of SI was followed for more than 2 months. Against the background of anticoagulant, antibacterial and symptomatic therapy, recovery was achieved. In the second case, total SI was observed in a premature infant with severe multiple organ failure. The publication is extensively illustrated and contains a brief review of the literature.

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The authors declare that there are no conflicts of interest present.