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Radionuclide Liver-Spleen Scan to Detect Splenosis

  • S. V. Solav
  • A. M. PatilEmail author
  • S. V. Savale
Images in Surgery
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Abstract

Splenosis is defined as heterotopic auto-transplantation of splenic tissue at ectopic location following splenic injury or surgery. It can be seen in any location in the abdomen and thorax as well as rare sites such as the brain and subcutaneous tissue and derives its blood supply from adjoining structures. Accessory spleen is a congenital condition and draws its blood supply from accessory splenic artery. It is located in gastrosplenic or lienorenal ligament. They are fewer in number and without preceding trauma. Colloid liver-spleen scan objectively localizes splenosis. Presented here is a case of hemolytic anemia who underwent splenectomy in 2007 for hereditary spherocytosis. Patient had vague abdominal pain 12 years post-surgery. Sonography and CT scan showed soft tissue lesions in abdomen. Colloid liver-spleen scan showed evidence of reticuloendothelial cells confirming the diagnosis of splenosis.

Keywords

Splenosis SPECT SPECT-CT SPECT-MRI Nuclear scintigraphy Tc-99 sulfur colloid Phytate 

Notes

Acknowledgment

We thank Dr. Kunal Oswal for providing valuable clinical inputs regarding this case.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Pearson HA, Johnston D, Smith KA, Touloukian RJ (1978) The born-again spleen. Return of splenic function after splenectomy for trauma. The New England Journal of Medicine 298(25):1389–1392CrossRefGoogle Scholar
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    di Costanzo GG, Picciotto FP, Marsilia GM, Ascione A (2004) Hepatic splenosis misinterpreted as hepatocellular carcinoma in cirrhotic patients referred for liver transplantation: report of two cases. Liver Transplantation 10(5):706–709CrossRefGoogle Scholar
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    Mortele KJ, Mortele B, Silverman SG (2004) CT features of the accessory spleen. American Journal of Roentgenology 183(6):1653–1657CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Dr Solav’s SPECT Lab Nuclear Medicine ServicesPuneIndia

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