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Vol. 61. Issue 1.
Pages 26-34 (January - February 2019)
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Vol. 61. Issue 1.
Pages 26-34 (January - February 2019)
Radiology through images
Diagnostic imaging of abnormalities in the location of the spleen and in the number of spleens
Diagnóstico por imagen de anomalías en el número y localización del bazo
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D. Rodríguez Vargasa,
Corresponding author
, M.J. Parada Blázquezb, B. Vargas Serranob
a Unidad de Gestión clínica de Radiodiagnóstico, Hospital Universitario Puerta del Mar, Cádiz, Spain
b Unidad de Gestión clínica de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Table 1. Categorization of splenic abnormalities based on their causal factor, size, location, number and shape.
Abstract

In imaging studies, some developmental anomalies such as perisplenic accessory spleen are easily recognizable due to their high incidence. However, other, less common anomalies such as intrapancreatic accessory spleen, splenopancreatic fusion, splenogonadal fusion, heterotaxy, and wandering spleen, as well as acquired conditions such as splenosis, can pose diagnostic difficulties. This aim of this review is to show the imaging diagnosis and differential diagnoses of these uncommon splenic anomalies.

Keywords:
Ectopic spleen
Splenosis
Heterotaxy
Diffusion magnetic resonance imaging
Computed tomography
Nuclear medicine
Resumen

En las exploraciones radiológicas abdominales, algunas anomalías del desarrollo, como el bazo accesorio periesplénico, son fácilmente reconocibles debido a su elevada incidencia. Sin embargo, otras menos frecuentes, como el bazo accesorio intrapancreático, la fusión esplenopancreática o esplenogonadal, la heterotaxia y el bazo errante, así como anomalías adquiridas como la esplenosis, pueden plantear dificultades diagnósticas. El propósito de nuestra revisión es mostrar los hallazgos radiológicos y el diagnóstico diferencial de dichas anomalías esplénicas poco habituales.

Palabras clave:
Bazo ectópico
Esplenosis
Heterotaxia
RM difusión
Tomografía computarizada
Medicina nuclear

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