[Utility of radioguided surgery in splenosis]. / Utilidad de la cirugía radioguiada en la esplenosis.
Rev Esp Med Nucl Imagen Mol
; 33(3): 180-2, 2014.
Article
em Es
| MEDLINE
| ID: mdl-24438912
ABSTRACT
Splenosis is a common finding after traumatic rupture of the spleen or therapeutic splenectomy, defined as a heterotopic autotransplantation of the spleen in peritoneal cavity and surface. In splenectomized patients due to hematologic disease, splenosis can lead to disease recurrence. We present a case of splenosis in a patient with idiopathic thrombocytopenic purpura who relapsed after splenectomy. For its localization, conventional imaging and scintigraphy with (99m)Tc-denatured red cells was performed, and at least five splenic foci were observed. Given the difficult intraoperative localization of these nodules, radioguided surgery was performed, with excellent localization and removal of all known nodules and multiple peritoneal implants of millimeter size that were not previously observed. We conclude that radioguided surgery is an excellent tool for locating foci of peritoneal splenosis, which have difficult access, thus avoiding early recurrence of the disease.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esplenose
/
Cirurgia Assistida por Computador
Limite:
Adolescent
/
Humans
/
Male
Idioma:
Es
Revista:
Rev Esp Med Nucl Imagen Mol
Ano de publicação:
2014
Tipo de documento:
Article