Multimodality imaging of developmental splenic anomalies: tips and pitfalls

Wong, Andrew; Fung, Kwai-Yau; Wong, W C; Ng, Kien Keat; Kung, BT; Kan, Yi

doi:10.1016/j.crad.2021.12.014

Cited by 6 publications

(12 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…US technique shows the spleen does not exist in its normal location LUQ 12 . CT is accurate in diagnosing ectopic spleen and its potential complications in misdiagnosed cases 3 . However, the MRI is not a primary technique but a highly specific method 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Wandering spleen (WS) is a rare clinical entity condition where the spleen is found in the lower part of the abdominal or pelvic cavity instead of the normal location, which is in the Left Upper quadrant (LUQ) 1 – 3 . It occurs due to laxity, weakening, or absence of one or all of the peritoneal ligaments: gastrosplenic, splenorenal, or splenocyte, which holds the spleen in the hypochondrium 2 , 4 .…”

Section: Introductionmentioning

confidence: 99%

“…The disease has no genetic background 1 . Ligament laxity can happen due to congenital factors including abnormal development or absence of three ligaments 3 , 4 , or acquired by a condition such as splenomegaly or pregnancy 5 . However, it mainly affects children in one third of cases, but commonly occurs in multiparous females of reproductive age in the third decade of life between 20 and 40 years 6 – 8 .…”

Section: Introductionmentioning

confidence: 99%

“…The patient may present with acute or chronic abdominal pain. To define the WS we performed a computed tomography (CT) with contrast, which is the most optimal imaging tool for confirming the diagnosis 3 , 9 , also we can use alternative ways like ultrasound (US) and MRI. Due to the lack of specific symptoms, diagnosis is difficult and often incidental, unless there is torsion, presenting as acute abdominal pain 4 .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Wandering spleen in a postpartum female: A case report

Rasheed,

Wassouf,

Abo Al Shamat

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction and importance: Wandering spleen (WS) is a rare condition that occurs when the spleen is not in its normal anatomical location, but in the abdominal or pelvic cavity. The mechanism of this condition may be due to dysfunction of ligaments that fixate the spleen in its position. Female hormonal alterations during pregnancy and other unknown causes in children may also play role in an ectopic spleen. Case presentation: We report a case of a 34-year-old woman who presented to the emergency department with intermittent abdominal pain that persisted after childbirth without other symptoms. Clinical discussion: Clinically the symptoms are varied and abdominal pain is the most common presentation. Radiological investigation of WS include ultrasound, MRI, and CT, which is the most preferred tool. Treatments after the diagnosis include splenectomy or splenopexy either through laparoscopy or laparotomy. Conclusion: Physicians should include ectopic spleen as a differential diagnosis in a multiparous woman with the presentation of acute or chronic abdominal pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Wandering spleen in a postpartum female: A case report

Rasheed,

Wassouf,

Abo Al Shamat

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…The accumulation of radioactivity in the body structure in question confirms the presence of functioning splenic tissue. Indications for splenic imaging include the identification of aberrant splenic tissue, the differentiation of splenic tissue from malignant lesions, and the evaluation of developmental anomalies of the spleen [3].…”

Section: Introductionmentioning

confidence: 99%

High-Resolution Splenic Imaging: [68Ga]Ga-Oxine Red Blood Cell PET/CT for Differentiation of Splenosis Mimicking Malignant Lymphoma

2022

View full text Add to dashboard Cite

The differentiation of splenic tissue from malignant lesions via imaging may be challenging, particularly considering aberrant or accessory lesions and diseases that are rarely encountered. Functioning splenic tissue can be identified using technetium-99m red blood cell (99mTc-RBC) scintigraphy, but its sensitivity is limited and may not be available. We present the case of a patient in whom disseminated abdomino-pelvic splenosis was diagnosed using PET/CT with gallium-68-oxine-labeled RBCs. The method represents a feasible and probably superior alternative to splenic scintigraphy.

show abstract