This case is original in that the accessory spleen could only be detected by transoperative scintigraphy. Desmarquet, J.Ī case of accessory spleen, 1 cm in diameter, responsible for recurrence of an idiopathic thrombocytopenic purpura after splenectomy is reported. Value of transoperative scintigraphy in the detection of accessory spleens Splenic scintigraphy is an economical, accessible and accurate tool in differential diagnosis of accessory spleens in patients after splenectomy Scintigraphy with 99m Tc-nanocolloid was able to confirm the presence of an accessory spleen in all these patients. In one patient, the dimensional increase of this finding in successive examinations was initially considered suggestive for cancer recurrence. CT examination and/or PET-CT scan revealed suspicious findings in the left upper abdomen. We present the cases of three patients who underwent splenectomy for gastric carcinoid, gastric adenocarcinoma and cancer of the left adrenal gland, respectively. The radiological appearance of accessory spleens in oncologic patients who underwent splenectomy can be misinterpreted as a recurrence, especially in the case of compensatory growth of an accessory spleen in successive radiological examinations. The most common location is the hilum of the spleen or area near the tail of the pancreas. More than 10% of healthy population has one or more accessory spleens. Role of nuclear medicine imaging in differential diagnosis of accessory spleens in patients after splenectomyĭ’Amico, Andrea Cofalik, Anna Przeorek, Cesary Gawlik, Tomasz Olczyk, Tomasz Kalemba, MichaÅ‚ Modorowska, Alicja Turska-d’Amico, Maria Bobek-Billewicz, Barbara Jarzab, Barbara We present the CT findings of progression of accessory spleen infarction over the course of 7 days. We report the case of a 12-year-old girl presenting with multiple episodes of left upper-quadrant pain caused by torsion of an accessory spleen. International Nuclear Information System (INIS) Evolution of the CT imaging findings of accessory spleen infarction
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