Bakir M, Bilgic A, Ozmen M, Cağlar M
Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Pediatr Radiol. 1994;24(1):25-8. doi: 10.1007/BF02017654.
Splenic anomalies frequently accompany conotruncal and atrioventricular septal malformations. Asplenia is a major factor in the mortality of newborns with the heterotaxy syndrome, requiring an early and accurate diagnosis. We evaluated the splenic status of five consecutive patients with heterotaxy syndrome by radionuclide splenic scanning with 99mTc-labelled and denatured red blood cells (RBCs) and by real-time abdominal ultrasonography. Examination and comparison of the findings using these diagnostic methods suggest that the former has some diagnostic pitfalls which arise from the symmetrical location of the liver in the abdomen. This leads to difficulty in the interpretation of overlapping signals from the blood pool of the liver and from the spleen.
脾脏异常常伴有圆锥动脉干和房室间隔畸形。无脾是内脏异位综合征新生儿死亡的主要因素，需要早期准确诊断。我们通过用99mTc标记的变性红细胞进行放射性核素脾脏扫描以及实时腹部超声检查，评估了连续5例内脏异位综合征患者的脾脏状况。使用这些诊断方法对检查结果进行检查和比较表明，前者存在一些诊断缺陷，这些缺陷源于肝脏在腹部的对称位置。这导致难以解释来自肝脏血池和脾脏的重叠信号。
