Document Detail

Preoperative computed tomography and scintigraphy to facilitate the detection of accessory spleen in patients with hematologic disorders.
MedLine Citation:
PMID:  3386065     Owner:  NLM     Status:  MEDLINE    
Accessory spleens of 1.5 cm in size were preoperatively identified by the combined use of computerized tomography and splenic scintigraphy in two patients with hematologic diseases. After the accessory spleen had been removed from the first patient, who had persistent hereditary spherocytosis and had undergone a splenectomy 15 months before, a postoperative decrease in hyperbilirubinemia was noted. In the other patient who had idiopathic thrombocytopenic purpura, a successful accessory splenectomy was done at the same time as her splenectomy, and was followed by 6 months' complete remission. These events indicate that preoperative investigations using computerized tomography and scintigraphy are indispensable for ruling out an accessory spleen in those patients for whom splenectomy needs to be done in order to alleviate hematologic disorders.
N Koyanagi; T Kanematsu; K Sugimachi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of surgery     Volume:  18     ISSN:  0047-1909     ISO Abbreviation:  Jpn J Surg     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-08-11     Completed Date:  1988-08-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302176     Medline TA:  Jpn J Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  IM    
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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MeSH Terms
Middle Aged
Purpura, Thrombocytopenic / complications*
Spherocytosis, Hereditary / complications*
Spleen / abnormalities*,  radiography,  radionuclide imaging,  surgery
Technetium / diagnostic use*
Tomography, X-Ray Computed*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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