Role of doppler sonography in the evaluation of accessory spleens after splenectomy

Splenectomy influences the Doppler blood flow pattern in the splenic artery. Blood flow in this vessel might return to normal if an accessory spleen increases in size after splenectomy. Our objective was to evaluate the resistive index of the splenic artery depending on the presence or absence of a...

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Veröffentlicht in:Journal of ultrasound in medicine 2001-12, Vol.20 (12), p.1347-1351
Hauptverfasser: Herneth, A. M, Pokieser, P, Philipp, M. O, Bader, T. R, Helbich, T. H, Mallek, R, Mostbeck, G. H
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container_issue 12
container_start_page 1347
container_title Journal of ultrasound in medicine
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creator Herneth, A. M
Pokieser, P
Philipp, M. O
Bader, T. R
Helbich, T. H
Mallek, R
Mostbeck, G. H
description Splenectomy influences the Doppler blood flow pattern in the splenic artery. Blood flow in this vessel might return to normal if an accessory spleen increases in size after splenectomy. Our objective was to evaluate the resistive index of the splenic artery depending on the presence or absence of a hypertrophic accessory spleen in splenectomized patients. The resistive index of the splenic artery was evaluated by duplex Doppler sonography in 19 splenectomized patients (8 with a hypertrophic accessory spleen) and in 8 healthy volunteers. The resistive index was measured within 3 cm of the origin of the splenic artery, and 3 different measurements were averaged. The presence or absence of a hypertrophic accessory spleen was diagnosed on the basis of sonography, computed tomography, magnetic resonance imaging, or scintigraphy, as well as by the presence or absence of Howell‐Jolly bodies on a peripheral blood smear. The resistive index of the splenic artery in the splenectomized patients without a hypertrophic accessory spleen (mean +/‐ SD, 0.82 +/‐ 0.06; n = 11) was significantly (P < or = .0001) higher than in splenectomized patients with a hypertrophic accessory spleen (0.63 +/‐ 0.06; n = 8) and in control subjects (0.63 +/‐ 0.05; n = 8). In the splenectomized patient, a hypertrophic accessory spleen is associated with a normal resistive index in the splenic artery.
doi_str_mv 10.7863/jum.2001.20.12.1347
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The presence or absence of a hypertrophic accessory spleen was diagnosed on the basis of sonography, computed tomography, magnetic resonance imaging, or scintigraphy, as well as by the presence or absence of Howell‐Jolly bodies on a peripheral blood smear. The resistive index of the splenic artery in the splenectomized patients without a hypertrophic accessory spleen (mean +/‐ SD, 0.82 +/‐ 0.06; n = 11) was significantly (P &lt; or = .0001) higher than in splenectomized patients with a hypertrophic accessory spleen (0.63 +/‐ 0.06; n = 8) and in control subjects (0.63 +/‐ 0.05; n = 8). 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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Adult
Biological and medical sciences
Cardiovascular system
Case-Control Studies
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Spleen - abnormalities
Splenectomy
Splenic Artery - diagnostic imaging
Ultrasonic investigative techniques
Ultrasonography, Doppler, Pulsed
title Role of doppler sonography in the evaluation of accessory spleens after splenectomy
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