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  • Title: Detection of multiple accessory spleens in a patient with chronic idiopathic thrombocytopenia purpura.
    Author: Phom H, Dasan J B, Kashyap R, Malhotra A, Choudhry VP, Bal CS.
    Journal: Clin Nucl Med; 2001 Jul; 26(7):593-5. PubMed ID: 11416736.
    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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