PMC4531559_01
A spleen scan before accessory splenectomy, (A) posterior view (B) left lateral view. It shows a focal uptake in the left upper quadrant, (the splenic bed), and this is suggestive of the presence of an accessory spleen.
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A spleen scan obtained after the intravenous injection of technetium-99m-labeled denatured RBC revealed a focal uptake in the posterior aspect of the left upper quadrant, and these findings are consistent with the presence of an accessory spleen (Figure 1).
A computed tomographic (CT) scan of the abdomen revealed a 2x2 cm sized soft tissue lesion on the left subdiaphragmatic area.
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A computed tomographic (CT) scan of the abdomen revealed a 2x2 cm sized soft tissue lesion on the left sub-diaphragmatic area (Figure 2).
Microscopic findings of an accessory spleen (x200). The section shows secondary follicles with well-developed germinal centers, and there was a variable number of perivascular plasma cells in the marginal zone.
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A dark brown mass was obtained and the pathologic finding was splenic tissue (Figure 3).
Microscopic findings of a bone marrow section (x200). It shows a normocellular marrow with increased megakaryocytes.
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A bone marrow examination showed there was still adequate megakaryocytes with normal hematopoiesis (Figure 4).