Detection of Multiple Accessory Spleens in a Patient with Chronic Idiopathic Thrombocytopenia Purpura

Hentok Phom, B. Dasan J, R. Kashyap, A. Malhotra, V. Choudhry, C. Bal
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引用次数: 8

Abstract

Chronic idiopathic thrombocytopenia purpura is an immunologically mediated disorder resulting in disordered platelet kinetics and potentially life-threatening thrombocytopenia. Failure of medical therapy is an indication for splenectomy, and responses are seen in 70% of patients after this procedure. An important cause of relapse after splenectomy is the presence of accessory spleens. The authors describe a patient with chronic idiopathic thrombocytopenia purpura who had a relapse of symptoms 4.5 years after splenectomy. Tc-99m heat-denatured RBC planar and SPECT studies revealed the presence of multiple (more than 13) accessory spleens, but few of them were localized anatomically using computed tomography.
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慢性特发性血小板减少性紫癜患者多副脾的检测
慢性特发性血小板减少性紫癜是一种免疫介导的疾病,导致血小板动力学紊乱和可能危及生命的血小板减少。药物治疗失败是脾切除术的指征,70%的患者在手术后有反应。脾切除术后复发的一个重要原因是副脾的存在。作者描述了一位慢性特发性血小板减少性紫癜患者,在脾切除术后4.5年症状复发。Tc-99m热变性红细胞平面和SPECT显示存在多个(超过13个)副脾,但很少有通过计算机断层扫描定位的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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