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

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

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