[Utility of radioguided surgery in splenosis].
Splenosis is a common finding after traumatic rupture of the spleen or therapeutic splenectomy, defined as a heterotopic autotransplantation of the spleen in peritoneal cavity and surface. In splenectomized patients due to hematologic disease, splenosis can lead to disease recurrence. We present a case of splenosis in a patient with idiopathic thrombocytopenic purpura who relapsed after splenectomy. For its localization, conventional imaging and scintigraphy with (99m)Tc-denatured red cells was performed, and at least five splenic foci were observed. Given the difficult intraoperative localization of these nodules, radioguided surgery was performed, with excellent localization and removal of all known nodules and multiple peritoneal implants of millimeter size that were not previously observed. We conclude that radioguided surgery is an excellent tool for locating foci of peritoneal splenosis, which have difficult access, thus avoiding early recurrence of the disease.
Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: Amymari21@hotmail.com.
A
A
Marí Hualde
Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España.
A
A
Rotger Regí
Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España.
J
J
Orcajo Rincón
Servicio Cirugía Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.
I
I
Simal Badiola
Servicio Cirugía Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.
J A
JA
Cerdá Berrocal
Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España.
J C
JC
Alonso Farto
D000293:Adolescent; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging; D017890:Splenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D013667:Technetium
D013667:Technetium
(99)(m)Tc-denatured red cells; (99)(m)Tc-hematíes desnaturalizados; Cirugía radioguiada; Eadioguided surgery; Esplenosis; Splenosis