Accesory Spleen - Incidence, Localization and Clinical Significance

Arkuszewski, Piotr; Srebrzyński, Adam; Niedziałek, Leszek; Kuzdak, Krzysztof

doi:10.2478/v10035-010-0074-1

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…Accessory spleen is not looked for during abdominal operations except splenectomy. [1] Hence, it is difficult to indicate the real incidence. On the other hand, radiologic diagnosis of this variation is difficult because of the fatty tissue entirely surrounding the accessory spleen or its' appearance similar to lymph node.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, radiologic diagnosis of this variation is difficult because of the fatty tissue entirely surrounding the accessory spleen or its' appearance similar to lymph node. [1] Detailed preoperative radiologic evaluation will achieve detection rates and prevent recurrence and complications in patients who have splenectomy indication. Radiologic studies with expanded patient series will also be valuable to indicate the real incidence.…”

Section: Discussionmentioning

confidence: 99%

“…[1,2] It results from the failure of fusion of splenic buds in dorsal mesogastrium in the fifth week of fetal life. [1,2] Splenosis is an acquired condition due to autotransplantation of splenic tissue during surgical intervention or traumatic rupture of spleen, caused by the spread of splenic tissue after a splenic injury. [3] It is possible to differentiate accessory spleen from splenosis by means of histology.…”

Section: Introductionmentioning

confidence: 99%

“…Accessory spleen is a congenital anomaly which presents with nodule of splenic tissue apart from main body of spleen. [1,2] It results from the failure of fusion of splenic buds in dorsal mesogastrium in the fifth week of fetal life. [1,2] Splenosis is an acquired condition due to autotransplantation of splenic tissue during surgical intervention or traumatic rupture of spleen, caused by the spread of splenic tissue after a splenic injury.…”

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confidence: 99%

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Retrospective radiologic analysis of accessory spleen by computed tomography

Akkaşoğlu

Çelebioğlu

Çalişkan

et al. 2019

Anatomy

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Retrospective radiologic analysis of accessory spleen by computed tomography

Akkaşoğlu

Çelebioğlu

Çalişkan

et al. 2019

Anatomy

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Splenule Frequency on Computed Tomography Scans in Children, Presenting to the Emergency Department

Deniz

Gök

2023

Sakarya Medical Journal

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Objectives: Accessory spleen, also known as “splenule”, is the presence of splenic tissue in ectopic localisations. The presence of splenule is important, especially in patients planned for splenectomy, as it may cause refractory symptoms. The aim of the present study is to define the frequency of splenule(s) in children (0-17 years) who received non-contrast and contrast enhanced computed tomography (NECT and CECT) protocols in the emergency department. Material and methods: 748 children (aged 0 to 17 years) who were admitted to the emergency department between May 2015 – September 2022 and had NECT and CECT abdominal scans were included in the study. Patients whose CT protocols were incomplete and cases with traumatic splenic injury and / or cases with poor image quality and patients with a history of splenectomy or hematologic pathology were excluded from the study (n: 100). A total of 648 patients were included in the cohort. NECT and CECT scans of all patients were assessed; the localisation of splenules as well as the antero-posterior (AP), medio-lateral (ML) and cranio-caudal (CC) dimensions of each splenule were measured. Results: A total of 648 cases with 467 males (72.1%) and 181 females (27.9%) were included in the study. Splenules were observed in 131 (20.2%) cases. More than one splenule was observed in 21 of these 131 cases. A total number of 159 splenules were observed in total, with a mean volume of 0,72 ±0,95 ml. The most common location was found to be the splenic hilus (n=55, 41.9%). Conclusion: Our study have stated that splenules are common anatomical variants, seen at a rate of 20,2% in this age cohort. A cross-sectional imaging should be performed to determine the presence, location, and number of the splenules before a planned splenectomy.

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Accesory Spleen - Incidence, Localization and Clinical Significance

Cited by 2 publications

References 16 publications

Retrospective radiologic analysis of accessory spleen by computed tomography

Retrospective radiologic analysis of accessory spleen by computed tomography

Splenule Frequency on Computed Tomography Scans in Children, Presenting to the Emergency Department

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