PMID: 7336159Jul 1, 1981Paper

Detection of splenosis and ectopic spleens with 99mTc-labelled heat damaged autologous erythrocytes in 90 splenectomized patients

Scandinavian Journal of Haematology
J L NielsenH H Hansen

Abstract

Splenosis or ectopic spleens were detected in 22 of 45 patients splenectomized after either abdominal trauma or accidental lesions of the spleen during operation. The incidence of ectopic spleen tissue in various groups of splenectomized patients has been investigated by a sensitive scanning method employing reinjection of 99mTc-labelled heat damaged autologous erythrocytes. In comparison 7 cases were found among 45 patients who underwent splenectomy for haematological reasons. The time span between the operation and a positive scan varied between 3 months and 11 years. None of the patients in the haematological group with reoccurrence of spleen tissue presented any signs of relapse of their primary disorder. The only patient with overwhelming infection was a girl in whom splenectomy was performed for hereditary spherocytosis. She recovered from the sepsis and her scan was negative. It is concluded that recurrence of spleen tissue is frequent after traumatic lesions of the spleen but rare after selective splenectomy for haematological reasons. This may account for the lesser tendency to overwhelming sepsis after post-traumatic splenectomy.

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Citations

Jul 1, 1989·European Journal of Haematology·J DemeterJ Ellegaard
Oct 1, 1983·The Australian and New Zealand Journal of Surgery·G K KiroffG G Jamieson
Feb 1, 1984·Scandinavian Journal of Haematology·K G Schmidt, J W Rasmussen
Oct 1, 1982·Acta Pathologica, Microbiologica, Et Immunologica Scandinavica. Section C, Immunology·F K PedersenJ Ellegaard
Dec 24, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Bernard DelaitreGérard Champault
Oct 4, 2013·The New England Journal of Medicine·Neal VarugheseAlfred Ian Lee
Apr 1, 1982·Scandinavian Journal of Haematology·J L NielsenJ Ellegaard
Sep 1, 1982·The British Journal of Surgery·J Lanng NielsenH H Hansen
Mar 1, 1984·Journal of Clinical Ultrasound : JCU·J F Katz, R A Kane
Oct 29, 2014·ANZ Journal of Surgery·James Salinas, Jay Abeysinghe
Apr 1, 1984·The Australian and New Zealand Journal of Surgery·R A HunterG G Jamieson
Mar 1, 1983·Scandinavian Journal of Haematology·J L NielsenJ Ellegaard
Sep 1, 1987·The British Journal of Radiology·H DerinC Yaman
Jul 1, 1983·Scandinavian Journal of Haematology·J Lanng NielsenJ Ellegaard
Oct 1, 1981·Scandinavian Journal of Haematology·K KragballeJ Ellegaard
Aug 1, 1982·Scandinavian Journal of Haematology·J Lanng Nielsen, S Haahr
Sep 1, 2015·British Journal of Haematology·Ernest KucharMonika Karlikowska
Nov 1, 1995·Abdominal Imaging·L K MarchantE E Furth
Apr 1, 1997·Clinical Nuclear Medicine·R P SpencerM K Karimeddini
Jun 16, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nick LansdaleAlan Sprigg

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