Detection of multiple accessory spleens in a patient with chronic idiopathic thrombocytopenia purpura.
Chronic idiopathic thrombocytopenia purpura is an immunologically mediated disorder resulting in disordered platelet kinetics and potentially life-threatening thrombocytopenia. Failure of medical therapy is an indication for splenectomy, and responses are seen in 70% of patients after this procedure. An important cause of relapse after splenectomy is the presence of accessory spleens. The authors describe a patient with chronic idiopathic thrombocytopenia purpura who had a relapse of symptoms 4.5 years after splenectomy. Tc-99m heat-denatured RBC planar and SPECT studies revealed the presence of multiple (more than 13) accessory spleens, but few of them were localized anatomically using computed tomography.
Phom
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Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Dasan J
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B
Kashyap
R
R
Malhotra
A
A
Choudhry
V P
VP
Bal
C S
CS
D000328:Adult; D002908:Chronic Disease; D004912:Erythrocytes; D005260:Female; D006801:Humans; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000601:surgery; D012008:Recurrence; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D013156:Splenectomy; D013667:Technetium; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
D013667:Technetium