Gamma probe-confirmed laparoscopic accessory splenectomy.
The simultaneous occurrence of idiopathic thrombocytopenic purpura (ITP) and Hodgkin's disease in the same patient is uncommon. There have been only a limited number of reported cases of newly diagnosed ITP following Hodgkin's disease. Even more uncommon is the development of ITP after splenectomy for Hodgkin's disease. Of the reported cases of ITP following splenectomy for Hodgkin's disease, all have been successfully treated with medical therapy. We report an unusual case of an accessory spleen causing ITP in a patient who had undergone a splenectomy for Hodgkin's disease 10 years earlier. The patient underwent hand-held gamma-probe-assisted laparoscopic accessory splenectomy.
Hendrickson
R J
RJ
Department of Surgery, Strong Memorial Hospital, University of Rochester Medical Center, 601 Elmwood Avenue, Box Surg, Rochester, NY 14602, USA. richhendrickson@msn.com
Koniaris
L G
LG
Kovach
S J
SJ
Johnson
J A
JA
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011877:Radionuclide Imaging; D013154:Spleen / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013156:Splenectomy / Q000295:instrumentation / Q000379:methods*; D013671:Technetium Tc 99m Sulfur Colloid; D014057:Tomography, X-Ray Computed
D013671:Technetium Tc 99m Sulfur Colloid