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Clinical Observation
September 2000

Handheld Gamma Probe Localization of Accessory Splenic Tissue in Recurrent Idiopathic Thrombocytopenic Purpura

Author Affiliations

From the Departments of Surgery and Surgical Oncology (Drs Finkelde and Henderson) and Diagnostic Imaging (Dr Hicks) and the Division of Haematology and Medical Oncology (Dr Wolf), Peter MacCallum Cancer Institute, University of Melbourne, Melbourne, Australia.

Arch Surg. 2000;135(9):1112-1113. doi:10.1001/archsurg.135.9.1112

Recurrent idiopathic thrombocytopenic purpura due to residual splenic tissue after splenectomy is uncommon. Location of the offending splenic tissue can be technically demanding. A small accessory spleen was localized intraoperatively with a handheld gamma probe after standard technetium-labeled heat-damaged red blood cell scan of the liver and spleen.