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Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis

Year 2014, Volume: 5 Issue: 2, 50 - 52, 01.02.2014

Abstract

Introduction: Splenosis is described for the heterotopic autotransplantation or implantation of splenic tissue following spleen trauma or splenectomy. It is usually asymptomatic and has been mistaken for intraabdominal pathologies, such as endometriosis and lymphoma. The important thing for diagnosis is perfect anamnesis and appropriate conventional imaging. Although there are different imaging modalities, selective spleen scintigraphy is the most sensitive and specific.Case Report: We present here a case of intraabdominal splenosis of a 29-year-old woman in whom splenectomy had been performed 12 years ago after a traffic accident, and a review of the literature is performed. Conclusion: Selective spleen scintigraphy is the most sensitive and specific imaging modality. In suspicious conditions, it should be done preoperatively

References

  • Ufuk F, Karabulut N. İntraabdominal splenozis: BT bulguları. Pam Med J 2013; 6: 37-40.
  • Tsitouridis I, Michaelides M, Sotiriadis C, Arvaniti M. Intraperitoneal sple- nozisin BT ve MR bulguları. Diagn Interv Radiol 2010; 16: 145-9.
  • Jacobson SJ, De Nardo GL. Splenosis Demonstrated by Splenic Scan. J Nucl Med 1971; 12: 570-2.
  • Kumbasar U, Döner E, Enön S, Akal M, Öztürk C. Thoracic Splenosis. Turk J Haematol 2005; 22: 147-9.
  • Armas RR, Thakur ML, Gottoschalk A. A simplified method of selective spleen scintigraphy with Tc-99m-labeled erythrocytes: clinical applica- tions. Concise communication. J Nucl Med 1980; 21: 413-6.
  • Chung SY, Ryo UY, Pinsky S. Evaluation of a patient with splenosis by various imagng modalities. J Natl Med Assoc 1986; 78: 458-9, 463.
  • Franceschetto A, Casolo A, Cucca M, Bagni B. Splenosis: 99mTc-labelled colloids provide the diagnosis in splenectomised patients. Eur J Nucl Med Mol imaging 2006; 33: 1102. Epub 2006 9.
  • Hagan I, Hopkins R, Lybrun I. Superior demonstration of splenosis by heat-denatured Tc-99m red blood cell scintigraphy compared with Tc- 99m sulfur colloid scintigraphy. Clin Nucl Med 31: 463-6. [CrossRef]

Karın Ağrısının Nadir Bir Nedeni; Trafik Kazası Sonrası Gelişen Splenozis ve Splenozisin Sintigrafik Görüntülenmesi

Year 2014, Volume: 5 Issue: 2, 50 - 52, 01.02.2014

Abstract

Giriş: Splenozis dalak yaralanması veya splenektomi sonrası dalak
dokusunun heterotopik ototransplantasyonu ve implantasyonu
olarak tanımlanır. Genellikle asemptomatiktir ve endometriozis
ve lenfoma gibi karın içi başka patolojilerle karışabilir. Tanıda esas
olan hikayenin detaylı alınması ve uygun görüntüleme yöntemlerinin
yapılmasıdır. Tanı amaçlı farklı görüntüleme yöntemleri yapılsa
da selektif dalak sintigrafisi daha hassas ve spesifiktir.
Olgu Sunumu: Bu olgu sunumunda 12 yıl önce trafik kazası nedeniyle
splenektomi uygulanmış olan 29 yaşındaki kadın hastada
gelişen intraabdominal splenozis literatur eşliğinde sunulmuştur.
Sonuç: Splenozis tanısında Selektif dalak sintigrafisi oldukça spesifik
ve sensitif bir yöntemdir. Şüpheli durumlarda ameliyat öncesi
yapılabilir

References

  • Ufuk F, Karabulut N. İntraabdominal splenozis: BT bulguları. Pam Med J 2013; 6: 37-40.
  • Tsitouridis I, Michaelides M, Sotiriadis C, Arvaniti M. Intraperitoneal sple- nozisin BT ve MR bulguları. Diagn Interv Radiol 2010; 16: 145-9.
  • Jacobson SJ, De Nardo GL. Splenosis Demonstrated by Splenic Scan. J Nucl Med 1971; 12: 570-2.
  • Kumbasar U, Döner E, Enön S, Akal M, Öztürk C. Thoracic Splenosis. Turk J Haematol 2005; 22: 147-9.
  • Armas RR, Thakur ML, Gottoschalk A. A simplified method of selective spleen scintigraphy with Tc-99m-labeled erythrocytes: clinical applica- tions. Concise communication. J Nucl Med 1980; 21: 413-6.
  • Chung SY, Ryo UY, Pinsky S. Evaluation of a patient with splenosis by various imagng modalities. J Natl Med Assoc 1986; 78: 458-9, 463.
  • Franceschetto A, Casolo A, Cucca M, Bagni B. Splenosis: 99mTc-labelled colloids provide the diagnosis in splenectomised patients. Eur J Nucl Med Mol imaging 2006; 33: 1102. Epub 2006 9.
  • Hagan I, Hopkins R, Lybrun I. Superior demonstration of splenosis by heat-denatured Tc-99m red blood cell scintigraphy compared with Tc- 99m sulfur colloid scintigraphy. Clin Nucl Med 31: 463-6. [CrossRef]
There are 8 citations in total.

Details

Other ID JA33NT46DE
Journal Section Case Report
Authors

Huri Tilla İlçe

Publication Date February 1, 2014
Submission Date February 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 2

Cite

APA İlçe, H. T. (2014). Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis. Journal of Emergency Medicine Case Reports, 5(2), 50-52.
AMA İlçe HT. Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis. Journal of Emergency Medicine Case Reports. February 2014;5(2):50-52.
Chicago İlçe, Huri Tilla. “Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis”. Journal of Emergency Medicine Case Reports 5, no. 2 (February 2014): 50-52.
EndNote İlçe HT (February 1, 2014) Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis. Journal of Emergency Medicine Case Reports 5 2 50–52.
IEEE H. T. İlçe, “Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis”, Journal of Emergency Medicine Case Reports, vol. 5, no. 2, pp. 50–52, 2014.
ISNAD İlçe, Huri Tilla. “Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis”. Journal of Emergency Medicine Case Reports 5/2 (February 2014), 50-52.
JAMA İlçe HT. Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis. Journal of Emergency Medicine Case Reports. 2014;5:50–52.
MLA İlçe, Huri Tilla. “Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis”. Journal of Emergency Medicine Case Reports, vol. 5, no. 2, 2014, pp. 50-52.
Vancouver İlçe HT. Rare Cause of Abdominal Pain: Splenosis After Traffic Accident and Scintigraphic Imaging of Splenosis. Journal of Emergency Medicine Case Reports. 2014;5(2):50-2.