Abstract
Severe thrombocytopenia in idiopathic thrombocytopenic purpura may recur owing to retained accessory spleens. Accessory spleen may hide in unusual and difficult locations. We present an interesting case in which we used a handheld gamma probe intraoperatively to localize two accessory spleens. The two accessory spleens were successfully retrieved and removed. A handheld gamma probe is used as a valuable tool in localizing residual splenic tissue following splenectomy.
Similar content being viewed by others
References
Finkelde DT, Hick RJ, Wolf M, Henderson MA. Handheld gamma probe localization of accessory splenic tissue in recurrent idiopathic thrombocytopenic purpura. Arch Surg 2000;135:1112–1113.
Barbaros U, Dinççag A, Erbil Y, Mercan S, Sanli Y, Adalet I, et al. Handheld gamma probe use to detect accessory spleens during initial laparoscopic splenectomies. Surg Endosc 2007;21:115–119.
Szold A, Kamat M, Nadu A, Eldor A. Laparoscopic accessory splenectomy for recurrent idiopathic thrombocytopenic purpura and haemolytic anemia. Surg Endosc 2000;14:761–763.
Coventry BJ, Watson DI, Tucker K, Chatterton S, Suppiah R. Intraoperative scintigraphic localization and laparoscopic excision of accessory splenic tissue. Surg Endosc 1998;12:159–161.
Antevil J, Thoman D, Taller J, Biondi M. Laparoscopic accessory splenectomy with intraoperative gamma probe localization for recurrent idiopathic thrombocytopenic purpura. Surg Laparosc Endosc Percutan Tech 2002;12:371–374.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bergeron, E., Ratte, S., Jeannotte, S. et al. The use of a handheld gamma probe for identifying two accessory spleens in difficult locations in the same patient. Ann Nucl Med 22, 331–333 (2008). https://doi.org/10.1007/s12149-007-0122-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12149-007-0122-z