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2010 | 82 | 9 | 510-514
Tytuł artykułu

Accesory Spleen - Incidence, Localization and Clinical Significance

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study. Assesment of prevalence, localization and clinical significance of an accessory spleen in own research material.Material and methods. Retrospective analysis of medical records of 8 patients managed in the Department of Endocrine and General Surgery of Medical University of Łódź between 1st January 2006 and 31st December 2009 with an accessory spleen recognized in the perioperative period. 7 splenectomies were performed (5 due to hematological indications) while one patient was operated on due to the recurrence of hematological disorders after previous splenectomy 3 years earlier.Results. In the early postoperative period complications requiring surgical reintervention occured in 2 patients. 5 patients underwent splenectomy for hematological indications and in 4 of them parameters of complete blood count improved. In one female patient operated on due to idiopathic thrombocytopenic purpura postoperative thrombocytopenia occured after splenectomy and excision of an accessory spleen.Conclusions. An accessory spleen is identified during 10% of splenectomies. This anomaly is most often localized in the area of vascular splenic hilum and is usually single. Complications after excision of the accessory spleen are attributable to splenectomy and typical for this procedure. The presence of the accessory spleen is significant only when excision of entire splenic tissue is necessary due to hematological indications.
Wydawca

Rocznik
Tom
82
Numer
9
Strony
510-514
Opis fizyczny
Daty
wydano
2010-09-01
online
2010-10-22
Twórcy
  • Department of Endocrynological and General Surgery, Medical University in Łódź
  • Department of Endocrynological and General Surgery, Medical University in Łódź
  • Department of Endocrynological and General Surgery, Medical University in Łódź
  • Department of Endocrynological and General Surgery, Medical University in Łódź
Bibliografia
  • Habib FA, Kolachalam RB, Swason K: Abscess of an Accessory Spleen. Am Surg 2000; 66: 215-18.[PubMed]
  • Corsi A, Summa A, De Filippo M et al.: Acute abdomen in torsion of accessory spleen. Eur J Radiol Extra 2007; 64: 15-17.[Crossref]
  • Grinbaum R, Zamir S, Fields S et al.: Torsion of an accessory spleen. Abdom Imaging 2006; 31: 110-12.[Crossref]
  • Mortelé KJ, Mortelé B, Silverman SG: CT Features of the Accessory Spleen. AJR 2004; 183: 1653-57.
  • Halpert B, Gyorkey F: Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol 1959; 32: 165-68.[PubMed]
  • Halpert B, Alden ZA: Accessory spleens in or at the tail of the pancreas: A survey of 2,700 additional necropsies. Arch Pathol 1964; 77: 652-54.
  • Leon L, Labropoulos N, Hudlin C et al.: Accessory Spleen Rupture in a Patient with Previous Traumatic Splenectomy. J Trauma 2006; 60: 901-03.[Crossref]
  • Tozbikian G, Bloomston M, Stevens R et al.: Accessory spleen presenting as a mass in the tail of the pancreas. Ann Diagn Pathol 2007; 11: 277-81.[PubMed][WoS][Crossref]
  • Sonomura T, Kataoka S, Chikugo T et al.: Epidermoid cyst originating from an intrapancreatic accessory spleen. Abdom Imaging 2002; 27: 560-62.[PubMed][Crossref]
  • Schwartz TL, Sterkel BB, Meyer-Rochow GY et al.: Accessory spleen masquerading as a pancreatic neoplasm. Am J Surg 2009; 197: 61-63.
  • Uchiyama S, Chijiiwa K, Hiyoshi M et al.: Intrapancreatic Accessory Spleen Mimicking Endocrine Tumor of the Pancreas: Case Report and Review of the Literature. J Gastrointest Surg 2008; 12: 1471-73.[Crossref][WoS]
  • Yokomizo H, Hifumi M, Yamane T et al.: Epidermoid cyst of an accessory spleen at the pancreatic tail: diagnostic value of MRI. Abdom Imaging 2002; 27: 557-59.[Crossref][PubMed]
  • Chin S, Isomoto H, Mizuta Y et al.: Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol 2007; 13: 1752-54.
  • Tsuchiya N, Sato K, Shimoda N et al.: An Accessory Spleen Mimicking a Nonfunctional Adrenal Tumor: A Potential Pitfall in the Diagnosis of a Left Adrenal Tumor. Urol Int 2000; 65: 226-28.[Crossref]
  • Kim MK, Im CM, Oh S et al.: Unusual presentation of right-side accessory spleen mimicking a retroperitoneal tumor. Int J Urol 2008;15: 739-40.[Crossref][WoS]
  • Velanovich V, Shurafa M: Laparoscopic Excision of Accessory Spleen. Am J Surg 2000; 180: 62-64.
  • Targarona EM, Espert JJ, Balagué C et al.: Residual Splenic Function After Laparoscopic Splenectomy. A Clinical Concern. Arch Surg 1998; 133: 56-60.
  • Targarona EM, Espert JJ, Piulachs J et al.: Laparoscopic Removal of Accessory Spleens after Splenectomy for Relapsing Autoimmune Thrombocytopenic Purpura. Eur J Surg 1999; 165: 1199-2000.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0074-1
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