Retrospective radiologic analysis of accessory spleen by computed tomography

Year 2019, Volume: 13 Issue: 2, 87 - 91, 31.08.2019

Sinem Akkaşoğlu , Emre Can Çelebioğlu Selma Çalışkan , İbrahim Tanzer Sancak

https://izlik.org/JA36KT59BA

Abstract

Objectives: The aim of this study was to define the
incidence and classify locations of accessory spleen using CT in a large
Turkish population and to compare our findings with earlier studies performed
in other populations. 

Methods: A total of 930 patients were included in the study
and evaluated retrospectively using CT. The CT images were obtained using
Philips Ingenuity 128 slice computerized tomography device.  

Results: 930 patients (413 females, 44.4%; 517 males, 55.6%)
who underwent CT imaging for various indications were included in this study.
Out of these, 55 had an accessory spleen (5.9%), and four had polysplenia. Most
common location of accessory spleen was hilum (49.9%) followed by the
gastrosplenic ligament  (21.81%),
infrasplenic area (18.18%), pancreatic tail (3.64%), splenorenal ligament
(3.64%) and suprasplenic area (3.64%).

Conclusion: Accessory spleen is a common variation
encountered in the abdominal cavity. Most and least common locations of this
variation should be well known to prevent radiologic misdiagnosis and surgical
complications. 

Keywords

radiologic anatomy , splenosis , accessory spleen

References

• Referans1. Piotr Arkuszewski , Adam Srebrzyński , Leszek Niedziałek , Krzyszt of Kuzdak Accessory spleen – incidence, localization and clinical significance Polski Przegląd Chirurgiczny 2010, 82, 9, 510–514 10.2478/v10035-010-0074-1
• Referans2. Rinki Chowdhary, Leena Raichandani, Sushma Kataria, Surbhi Raichandani, Hemkanwar Joya, Samta Gaur Accessory spleen and its significance: A case report International Journal of Applied Research 2015; 1(12): 902-904
• Referans3. L. Depypere, M. Goethals, A. Janssen & F. Olivie Traumatic Rupture of Splenic Tissue 13 Years after Splenectomy. A Case Report Acta Chir Belg, 2009, 109, 523-526
• Referans4. L. Depypere, M. Goethals, A. Janssen, F. Olivier Traumatic Rupture of Splenic Tissue 13 Years after Splenectomy. A Case Report Acta Chir Belg, 2009, 109, 523-526
• Referans5. Shabnam Mohammadi, Arya Hedjazi, Maryam Sajjadian, Naser Ghrobi, Maliheh Dadgar Moghadam and Maryam Mohammadi. Accessory Spleen in the Splenic hilum: a Cadaveric Study with Clinical Significance Med Arch. 2016 Oct; 70(5): 389-391 doi: 10.5455/medarch.2016.70.389-391
• Referans6. Robert F. Robertson. The Clinical Importance of Accessory Spleens. The Canadian Medical Association Journal. Sept. 1938
• Referans7. G Gayer, R Zissin, S Apter, E Atar, O Portnoy and Y Itzchak. CT findings in congenital anomalies of the spleen The British Journal of Radiology, 74 (2001), 767–772
• Referans8. Richard D, Rice WT, Fremont MD. Splenosis: a review. South Med J. 2007: 100(6):589-93
• Referans9. Ambriz P, Muñóz R, Quintanar E, Sigler L, Avilés A, Pizzuto J. Accessory spleen compromising response to splenectomy for idiopathic thrombocytopenic purpura. Radiology. 1985 Jun;155(3):793-6.
• Referans10. Sutherland GA, Burghard FF. The Treatment of Splenic Anaemia by Splenectomy. Proc R Soc Med. 1911;4(Clin Sect):58-70. PMID: 19974928 PMCID: PMC2004740
• Referans11. Shan GD, Chen WG, Hu FL, Chen LH, Yu JH, Zhu HT, Gao QQ, Xu GQ. A spontaneous hematoma arising within an intrapancreatic accessory spleen: A case report and literature review. Medicine (Baltimore). 2017 Oct;96(41):e8092. doi: 10.1097/MD.0000000000008092.
• Referans12. Sirinek KR, Livingston CD, Bova JG, Levine BA. Bowel obstruction due to infarcted splenosis. South Med J. 1984 Jun;77(6):764-7. PMID: 6729556
• Referans13. B Calin, BN Sebastin, B Vasile, o Andrea. Lost and found: the accessory spleen. Med. Con. 2012: 2(26):63-6
• Referans14. Snell R. Clinical Anatomy by Regions. 9th ed. Philadelphia: Lippincott Williams&Wilkins; 2012:p 206
• Referans15. Yildiz AE, Ariyurek MO, Karcaaltıncaba M. Splenic Anomalies of Shape, Size, Location: Pictorial Assey. Scientific World Journal. 2013: 321810:9.
• Referans16. Mortele KJ, Mortele B, Silverman SG. CT features of the accessory spleen. AJR Am J Roentgenol. 2004; 183:1653-7.
• Referans17. Romer T, Wiesner W. The accessory spleen: prevelance and imaging findings in 1,735 consecutive patients examined by multidetector computed tomography. JBR-BTR. 2012:95(2):61-5
• Referans18. Chaware PN, Belsare SM, Kulkarni YR, Pandit SV, Ughade JM. The Morphological Variations of the Human Spleen. Journal of Clinical and Diagnostic Research. 2012;6(2):159-62
• Referans19. Feng Y, Shi Y, Wang B, Li J, Ma D, Wang S, Wu M. Multiple pelvic accessory spleen: Rare case report with review of literature. Exp Ther Med. 2018 Apr;15(4):4001-4004. doi: 10.3892/etm.2018.5903. Epub 2018 Feb 28.