Elif İpek ÇAY, Sema ÖZANDAÇ POLAT, Mahmut OKSÜZLER, Pınar GÖKER

Aksesuar dalak varyasyonu

Sol üst kadranda karın boşluğunda fundus gastrica ile diaphragma arasında bulunan kahve çekirdeğine benzeyen dalak vasküler ve lenfatik yapılarla sarılmış bir organdır. Çok kesittli Bilgisayarlı Tomografi abdominal bölgede yerleşim gösteren yapıları görüntülemede oldukça iyi sonuçlar vermektedir. Üriner sistem enfeksiyonu şikayetiyle gelen hastaya abdomen Bilgisayarlı Tomografi (BT) ve laboratuvar tetkikleri yapıldı. BT tetkikinde hastada primer dalak’tan görünüm ve doku olarak çokta farklı olmayan aksesuar dalak varyasyonuna sahip olduğu görüldü. Bu olguda literatürde yer alan aksesuar dalak varyasyonel sınıflandırılmasının dışında farklı bir tip aksesuar dalak varyasyonunun görüntüleme bulgularının incelenmesi amaçlandı.

Anahtar Kelimeler:

Dalak, Aksesuar dalak, Splenektomi

Accessory spleen variation

The spleen, which is located between the fundus gastrica and the diaphragm in the abdominal cavity in the left upper quadrant, resembles a coffee bean, and is surrounded by vascular and lymphatic structures. Multislice Computed Tomography gives very good results in imaging the structures located in the abdominal region. Abdominal Computed Tomography (CT) and laboratory examinations were performed in the patient who came to the patient with the complaint of urinary system infection. In the CT examination, it was observed that the patient had accessory spleen variation, which was not much different in appearance and texture from the primary spleen. In this case, it was aimed to examine the imaging findings of a different type of accessory spleen variation apart from the accessory spleen variational classification in the literature.

Keywords:

Spleen, Accessory spleen, Splenectomy,

PDF

___

1. Mortelé KJ, Mortelé B, Silverman SG. CT features of the accessory spleen. J Roentgenol. 2005;184:348.
2. Moore KL, Dalley AF. Clinically oriented anatomy. 4th ed. Philadelphia: Lippincott Williams&Wilkins; 1999: 257.
3. Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol. 1959;32:165-168.
4. Porembka MR, Doyle MBM, Chapman WC. Disorders of the spleen. In: Greer J, Foerster J, Rodgers GM, Paraskevas F, eds. Wintrobe’s Clinical Hematology, Philadelphia: Lippincott Williams Wilkins. 2009:1637-55.
5. Kim MK, Im CM, Oh SH, Kwon DD, Park K, Ryu SB. Unusual persentation of right-side accessory spleen mimicking a retroperitoneal tumor. İnt J Urol. 2008;15:739-40.
6. Chin S, Isomoto H, Mizuta Y, Wen CY, Shikuwa S, Kohno S. Enlarged accessory spleen presenting stomach submucosal tumor. World J Gastroenterol. 2007;13:1752-54.
7. Yıldız AE, Ariyurek MO, Karcaaltincaba M. Splenic anomalies of shape, size, and location: pictorial essay. Scientific World J. 2013;2013:321810.
8. Coote JM, Eyers PS, Walker A, Wells IP. Intraabdominal bleeding caused by spontaneous rupture of an accessory spleen: the CT findings. Clin Radiol. 1999;54:689-91.
9. Yalçın B, Tuğcu H, Kocabıyık N, Kılıç C, Ozan H. Gülhane Tıp Dergisi. 2004;46:351-52.
10. Beahrs JR, Stephens DH. Enlarged accessory spleens: CT appearance in postsplenectomy patients. AJR Am J Roentgenol. 1980;135:483-6.