Enlargement of Accessory Spleen After Splenectomy Can Mimic a Solitary Adrenal Tumor
| Autor: | Gregory S. Rosenblatt, Gerhard J. Fuchs, Daniel Luthringer |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Nephrology
medicine.medical_specialty Pathology Urology medicine.medical_treatment Splenectomy Adrenal Gland Neoplasms Accessory spleen Diagnosis Differential Postoperative Complications Internal medicine medicine Humans Radionuclide imaging Technetium Sulfur Colloid Aged Laparoscopic adrenalectomy business.industry Hypertrophy medicine.disease Splenic Tissue Female Splenic disease business Spleen |
| Zdroj: | Urology. 75:561-562 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2009.05.070 |
| Popis: | We report on a 72-year-old woman who had previously undergone splenectomy and subsequently presented with an incidental 5-cm adrenal mass. Laparoscopic adrenalectomy was performed, and the mass was identified to be an accessory spleen. Remaining accessory splenic tissue may undergo compensatory hypertrophy after splenectomy. When a biochemically inactive, well-marginated ovoid adrenal mass is identified in a postsplenectomy patient, consideration should be given to the presence of accessory spleen. In such cases, radionuclide imaging with technetium sulfur colloid may provide information that would confirm the presence of accessory normal tissue and would therefore support observation rather than surgical resection. |
| Databáze: | OpenAIRE |
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