title: Complementary use of computerized tomography and technetium scanning in the diagnosis of accessory spleen.
abstract: A patient with a previous splenectomy presented with acute gastrointestinal bleeding. He was found to have a benign gastric ulcer, esophagogastric varices, and a mass indenting the gastric fundus. Abdominal computerized tomography and technetium liver-spleen scanning established the diagnosis of an accessory spleen as cause for the mass effect. This diagnostic approach obviated the need for arteriography and exploratory laparotomy.
mesh_terms: D000013:Congenital Abnormalities / Q000175:diagnosis; D003937:Diagnosis, Differential; D006396:Hematemesis / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis; D011877:Radionuclide Imaging; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013274:Stomach Neoplasms / Q000175:diagnosis; D013276:Stomach Ulcer / Q000150:complications; D013667:Technetium; D014057:Tomography, X-Ray Computed
chemical_list: D013667:Technetium