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Retrospective radiologic analysis of accessory spleen by computed tomography

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

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. 





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

Abstract

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.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Sinem Akkaşoğlu 0000-0002-3371-4734

Emre Can Çelebioğlu This is me 0000-0002-1580-7064

Selma Çalışkan 0000-0002-5839-3172

İbrahim Tanzer Sancak This is me

Publication Date August 31, 2019
Published in Issue Year 2019 Volume: 13 Issue: 2

Cite

APA Akkaşoğlu, S., Çelebioğlu, E. C., Çalışkan, S., Sancak, İ. T. (2019). Retrospective radiologic analysis of accessory spleen by computed tomography. Anatomy, 13(2), 87-91.
AMA Akkaşoğlu S, Çelebioğlu EC, Çalışkan S, Sancak İT. Retrospective radiologic analysis of accessory spleen by computed tomography. Anatomy. August 2019;13(2):87-91.
Chicago Akkaşoğlu, Sinem, Emre Can Çelebioğlu, Selma Çalışkan, and İbrahim Tanzer Sancak. “Retrospective Radiologic Analysis of Accessory Spleen by Computed Tomography”. Anatomy 13, no. 2 (August 2019): 87-91.
EndNote Akkaşoğlu S, Çelebioğlu EC, Çalışkan S, Sancak İT (August 1, 2019) Retrospective radiologic analysis of accessory spleen by computed tomography. Anatomy 13 2 87–91.
IEEE S. Akkaşoğlu, E. C. Çelebioğlu, S. Çalışkan, and İ. T. Sancak, “Retrospective radiologic analysis of accessory spleen by computed tomography”, Anatomy, vol. 13, no. 2, pp. 87–91, 2019.
ISNAD Akkaşoğlu, Sinem et al. “Retrospective Radiologic Analysis of Accessory Spleen by Computed Tomography”. Anatomy 13/2 (August 2019), 87-91.
JAMA Akkaşoğlu S, Çelebioğlu EC, Çalışkan S, Sancak İT. Retrospective radiologic analysis of accessory spleen by computed tomography. Anatomy. 2019;13:87–91.
MLA Akkaşoğlu, Sinem et al. “Retrospective Radiologic Analysis of Accessory Spleen by Computed Tomography”. Anatomy, vol. 13, no. 2, 2019, pp. 87-91.
Vancouver Akkaşoğlu S, Çelebioğlu EC, Çalışkan S, Sancak İT. Retrospective radiologic analysis of accessory spleen by computed tomography. Anatomy. 2019;13(2):87-91.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).