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Rev Esp Med Nucl Imagen Mol. 2014 May-Jun;33(3):180-2. doi: 10.1016/j.remn.2013.10.012. Epub 2014 Jan 14.

[Utility of radioguided surgery in splenosis].

[Article in Spanish]

Author information

  • 1Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: Amymari21@hotmail.com.
  • 2Servicio Medicina Nuclear, Hospital General Universitario Gregorio Marañón, Madrid, España.
  • 3Servicio Cirugía Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.


Splenosis is a common finding after traumatic rupture of the spleen or therapeutic splenectomy, defined as a heterotopic autotransplantation of the spleen in peritoneal cavity and surface. In splenectomized patients due to hematologic disease, splenosis can lead to disease recurrence. We present a case of splenosis in a patient with idiopathic thrombocytopenic purpura who relapsed after splenectomy. For its localization, conventional imaging and scintigraphy with (99m)Tc-denatured red cells was performed, and at least five splenic foci were observed. Given the difficult intraoperative localization of these nodules, radioguided surgery was performed, with excellent localization and removal of all known nodules and multiple peritoneal implants of millimeter size that were not previously observed. We conclude that radioguided surgery is an excellent tool for locating foci of peritoneal splenosis, which have difficult access, thus avoiding early recurrence of the disease.

Copyright © 2013 Elsevier España, S.L. y SEMNIM. All rights reserved.


(99)(m)Tc-denatured red cells; (99)(m)Tc-hematíes desnaturalizados; Cirugía radioguiada; Eadioguided surgery; Esplenosis; Splenosis

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