Accessory spleen imaging. Radionuclide, ultrasound and CT investigations in a patient with thrombocytopenia 25 yr after splenectomy for ITP.
A 42-yr-old man presented with thrombocytopenia 25 yr after splenectomy for idiopathic thrombocytopenic purpura (ITP). Preoperative investigations with 99Tc-colloid scan, ultrasound and computed tomography (CT) revealed 2 accessory spleens. The patient recovered completely after splenunculectomy. CT was superior to radionuclide and ultrasonography in describing the exact location of the 2 spleens, thereby facilitating the operative procedure.
D000328:Adult; D006801:Humans; D008297:Male; D011696:Purpura, Thrombocytopenic / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D011877:Radionuclide Imaging; D012008:Recurrence; D013154:Spleen / Q000000981:diagnostic imaging; D013156:Splenectomy; D013997:Time Factors; D014463:Ultrasonography