Intrapancreatic accessory spleen: a rare cause of recurrence of immune thrombocytopenic purpura
نویسندگان
چکیده
Accessory splenectomy should be considered in any patient with recurrence of immune thrombocytopenic purpura, if studies (scintigraphy using heat-damaged Tc99m-labeled red blood cells) are suggestive of residual functional splenic tissue. The most common benefit after removal of accessory spleen seems to be the reduction of dose in medical treatment.
منابع مشابه
Postsplenectomy Recurrence of Thrombocytopenia with an Accessory Spleen
Autoimmune thrombocytopenic purpura (AITP) is an autoimmune disorder that results from antiplatelet autoantibodies; these autoantibodies cause platelet destruction in the reticluoendothelial system. Oral corticosteroid therapy is the first line treatment. Splenectomy is the major treatment modality after the failure of more conservative medical therapy. Approximately 15% of the patients will re...
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BACKGROUND Missed accessory spleen (AcS) can cause recurrence of hematologic disease after splenectomy. The objective of the study was to determine whether detection of AcS is more accurate with preoperative computed tomography (CT) scan or with exploration during laparoscopic splenectomy. METHODS A retrospective chart review was performed for 75 adult patients who underwent laparoscopic spl...
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Accessory spleens in the thoracic and abdominal cavities after a relapse of idiopathic thrombocytopenic purpura: a case report.
This case report presents a highly unusual finding of ectopic splenic tissue in both the thoracic and abdominal cavities in a patient with recurrent idiopathic thrombocytopenic purpura (ITP).
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Objectives: Accessory spleens are foci of splenic tissue found commonly adjacent to the main spleen. Incidence ranges from 10 to 20% in general population. However, they occur with a higher frequency in patients with hematologic diseases. Immune Thrombocytopenic Purpura (ITP) stands out amongst these illnesses, and a detailed identification of these foci is extremely necessary to guarantee the ...
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