Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2024; 16(2): 616-621
Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.616
Percutaneous ultrasound-guided coaxial core needle biopsy for the diagnosis of multiple splenic lesions: A case report
Sha-Hong Pu, Wu-Yong-Ga Bao, Zhen-Peng Jiang, Rui Yang, Qiang Lu
Sha-Hong Pu, Wu-Yong-Ga Bao, Zhen-Peng Jiang, Rui Yang, Qiang Lu, Department of Medical Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Lu Q contributed to the study conceptualization and supervision; Pu SH contributed to manuscript writing; Yang R contributed to data collection; Bao WYG, Jiang ZP and Lu Q contributed to manuscript revision; and all authors have approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiang Lu, MD, Professor, Department of Medical Ultrasound, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Chengdu 610041, Sichuan Province, China. luqiang@scu.edu.cn
Received: November 8, 2023
Peer-review started: November 8, 2023
First decision: December 6, 2023
Revised: December 18, 2023
Accepted: January 25, 2024
Article in press: January 25, 2024
Published online: February 27, 2024
Processing time: 108 Days and 22.2 Hours
Core Tip

Core Tip: Multiple splenic lesions caused by infection, lymphoma, sarcoid, metastasis and infarction may have similar imaging features. The overlapping imaging characteristics of splenic lesions cause a diagnostic dilemma. Consequently, a definitive diagnosis primarily relies on histological results. We describe a case of multiple indeterminate splenic lesions and confirmed the diagnosis with an ultrasound (US)-guided coaxial core needle biopsy (CNB). US-guided CNB is a safe and efficient puncture technique providing valuable diagnostic information and patient treatment guidance.