Scintigraphic assessment of ectopic splenic tissue localization and function following splenectomy for trauma

Zwas, S. Tzila; Samra, Drora; Samra, Y; Sibber, George R.

doi:10.1007/bf00276704

Cited by 23 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nowadays scintigraphy (performed with heat-demaged 99Tc-labelled red blood cells) is still considered the more sensitive and specific imaging modality for the diagnosis of splenosis [10,13,14], being sensitive even in early splenosis, in cases where splenic tissue is minimally present, in functional hyposplenism and in case of poor splenic uptake. This because splenic tissue takes up more than 90% of damaged red blood cells [15].…”

Section: Discussionmentioning

confidence: 99%

Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

Rizzo

Monfardini

Belmonte

et al. 2009

Cases J

View full text Add to dashboard Cite

IntroductionSplenosis is a post-traumatic autotrasplantation and proliferation of splenic tissue in ectopic sites. These implants may mimic malignancy in healthy patients or peritoneal metastases in cancer patients. When a previous history of splenic injury is known, the finding of soft tissue nodules in many thoracic and abdominal locations might raise the suspicion of the benign condition of splenosis, in order to avoid unnecessary surgery or chemotherapy.Case presentationA 56-year-old man with history of persistent hematuria from bladder cancer was referred to our Institution for suspected peritoneal carcinosis. For staging purposes he underwent abdominal computed tomography and ultrasound. The integration of patient's history and imaging results led to the diagnosis of peritoneal splenosis. The patient therefore underwent regular Trans Urethral Resection of Bladder for the known malignancy; while no treatment was necessary for splenosis. Two years follow-up was negative for metastases.ConclusionSplenosis is a benign condition after traumatic splenectomy which should be taken into account in the differential diagnosis with peritoneal seeding of malignancy because its appearance may resemble malignancy.

show abstract

Section: Discussionmentioning

confidence: 99%

Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

Rizzo

Monfardini

Belmonte

et al. 2009

Cases J

View full text Add to dashboard Cite

show abstract

“…It may present as soliatary (25% cases) or multiple nodules (75% of cases) on CT scans [8]. Scintigraphy performed with heat-damaged 99Tc-labelled red blood cells is considered the most sensitive and specific imaging modality for the diagnosis of splenosis [9], [10], [11] and can demonstrate splenic tissue even when minimally present. This is because splenic tissue takes up more than 90% of damaged red blood cells [12], [13].…”

Section: Discussionmentioning

confidence: 99%

A rare benign intrathoracic mass in a patient with history of rocket explosion

Klair¹,

Duvoor²,

Meena³

2015

Respiratory Medicine Case Reports

View full text Add to dashboard Cite

Thoracic splenosis is rare benign condition that follows trauma leading to diaphragmatic injury. Most of the patients including ours present with a clear traumatic event leading to autotransplantation of spleen in thoracic cavity. Mostly diagnosed incidentally and we need to avoid unnecessary workup including radiological and invasive. It is a very important case which signifies importance of good history taking and initial imaging for making diagnosis and making our pulmonogist and internist aware of this diagnosis.

show abstract

“…diagnosis (9). In the unlikely event of all such tests producing equivocal results, it may well then be necessary to consider a diagnostic laparoscopy or laparotomy to follow if a tissue diagnosis is necessary.…”

Section: International Journal Of Pancreatologymentioning

confidence: 99%

Intrapancreatic accessory spleen

Coakley¹

2010

Pearls and Pitfalls in Abdominal Imaging

View full text Add to dashboard Cite

Conclusion:The clinical significance of intrapancreatic accessory spleens resides in the mimicry of pancreatic cancer. Radionuclide tests (Octreotide scan and Tc99m sulfur colloid scan) should be undertaken to distinguish these lesions from neuroendocrine tumors, hypervascular metastases and pancreatic carcinoma. If the tests are equivocal, diagnostic laparotomy or laparoscopy is recommended.Background: Despite its relatively common occurrence, intrapancreatic ectopic splenic tissue is rarely detected owing to its asymptomatic nature.Methods: We report a case of a clinically asymptomatic patient in which abdominal computed tomography (CT) scans revealed a mass of 1.5 cm in diameter in the distal pancreas. The tumor markers CA 19-9 and carcinoembryonic antigen (CEA) were slightly elevated, and pancreatic neoplasm was suspected.Results: Left pancreatic resection and splenectomy were performed. The removed specimen disclosed the presence of an accessory spleen within the pancreatic tail.

show abstract

Scintigraphic assessment of ectopic splenic tissue localization and function following splenectomy for trauma

Cited by 23 publications

References 16 publications

Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: a case report

A rare benign intrathoracic mass in a patient with history of rocket explosion

Intrapancreatic accessory spleen

Contact Info

Product

Resources

About