Pitfall of the accessory spleen
| Autor: | R.M.M.E. Wouters, R.J.S. Lamers, Bruce H. R. Wolffenbuttel, J. P. J. E. Sels |
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| Přispěvatelé: | Beeldvorming, Interne Geneeskunde, RS: NUTRIM School of Nutrition and Translational Research in Metabolism, RS: CAPHRI School for Public Health and Primary Care |
| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: |
Adenoma
Adult Male Pathology medicine.medical_specialty endocrine system diseases Adrenal Gland Neoplasms Choristoma Accessory spleen Scintigraphy Diagnosis Differential Cushing syndrome Internal Medicine medicine Humans Adrenal adenoma Diagnostic Errors Cushing Syndrome Insulinoma Splenic Diseases medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Hypoglycemia Pancreatic Neoplasms Female Radiology Differential diagnosis Tomography X-Ray Computed business Spleen |
| Zdroj: | Netherlands Journal of Medicine, 56(4), 153-158. Van Zuiden Communications |
| ISSN: | 0300-2977 |
| DOI: | 10.1016/s0300-2977(00)00005-x |
| Popis: | Two patients, one with insulinoma and one with cushing’s syndrome, are presented. Biochemical evaluation readily suggested the correct diagnosis. During radiologic imaging, the anatomic abnormality giving rise to these diseases, i.e. A pancreatic islet cell tumor, and an adrenal adenoma, at first were mistakenly interpreted as an accessory spleen on the basis of specific computed tomography and magnetic resonance imaging appearances. The insulinoma was identified as such during laparotomy, whereas additional jodo-cholesterol scintigraphy revealed the real nature of the lesion in the patient with cushing’s syndrome. Both patients were operated successfully. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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