{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:50:20Z","timestamp":1783468220232,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1985,6,1]],"date-time":"1985-06-01T00:00:00Z","timestamp":486432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1985,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>One of the important stages during splenectomy is the search for accessory spleens. The average frequency of accessory spleens is an estimated 11%. In our own material in 611 patients who had splenectomy in hematological disorders, accessory spleens were found in 110 patients (18%). The surgical anatomy, embryology, and clinical significance of the accessory spleens, with particular reference to the recurrence of idiopathic thrombocytopenic purpura (ITP) are discussed. The group of 177 patients with ITP treated by splenectomy 2\u201325 years ago is analyzed. Recurrence of thrombocytopenia after a good immediate response to splenectomy developed in 52 patients. In 13 patients the recurrence was transient, but in 19 it was longlasting. In these patients the presence of the accessory spleens was suspected by the absence of Howell\u2010Jolly bodies in the peripheral blood. The accessory spleen was demonstrated by splenic scan in 16 cases and confirmed in 13 of the 15 patients who underwent reoperation. Removal of the accessory resulted in permanent disappearance of thrombocytopenia in 12 patients<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655277","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T02:24:16Z","timestamp":1115519056000},"page":"422-430","source":"Crossref","is-referenced-by-count":78,"title":["Accessory spleens: Clinical significance with particular reference to the recurrence of idiopathic thrombocytopenic purpura"],"prefix":"10.1002","volume":"9","author":[{"given":"Witold J.","family":"Rudowski","sequence":"first","affiliation":[{"name":"Department of Surgery Research Institute of Hematology and Blood Transfusion Chocimska 5 00\u2010957 Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1985,6]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"123","article-title":"Surgical significance of the accessory spleen","volume":"276","author":"Curtis G.M.","year":"1946","journal-title":"Ann. 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Proc."},{"key":"e_1_2_1_19_1","first-page":"71","article-title":"Splenectomy: Indications, hazards and alternatives","volume":"173","author":"Cooper M.J.","year":"1984","journal-title":"Br. J. Surg."},{"key":"e_1_2_1_20_1","first-page":"12","article-title":"Study of the results of surgical therapy of familial hemolytic jaundice","volume":"419","author":"McLaughlin W.C.","year":"1942","journal-title":"Surgery"},{"key":"e_1_2_1_21_1","first-page":"21","article-title":"The sequestration site of platelets in idiopathic thrombocytopenic purpura in correlation with the results of splenectomy","volume":"153","author":"Najean Y.","year":"1971","journal-title":"Br. J. Haematol."},{"key":"e_1_2_1_22_1","first-page":"98","article-title":"Increased incidence of accessory spleens in haematologic disease","volume":"762","author":"Olsen W.R.","year":"1969","journal-title":"Arch. 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Lek."},{"key":"e_1_2_1_24_1","first-page":"43","article-title":"Recurrence of thrombocytopenia in patients after splenectomy for idiopathic thrombocytopenic purpura","volume":"355","author":"Pawelski S.","year":"1981","journal-title":"Blut"},{"key":"e_1_2_1_25_1","first-page":"55","article-title":"Splenectomy in recurrent thrombocytopenia","volume":"354","author":"Spero J.A.","year":"1976","journal-title":"Acta Haematol."},{"key":"e_1_2_1_26_1","volume-title":"Disorders of Hemostasis in Surgery","author":"Rudowski W.","year":"1977"},{"key":"e_1_2_1_27_1","first-page":"88","article-title":"Splenectomy for thrombocytopenia","volume":"497","author":"Schwartz S.J.","year":"1980","journal-title":"Surgery"},{"key":"e_1_2_1_28_1","first-page":"10","article-title":"Recurrent hypersplenism due to accessory spleen","volume":"350","author":"Evans T.S.","year":"1953","journal-title":"Acta Haematol."},{"key":"e_1_2_1_29_1","first-page":"52","article-title":"Recurrent thrombocytopenic purpura associated with accessory spleen","volume":"154","author":"Hann I.M.","year":"1976","journal-title":"Arch. Dis. Child."},{"key":"e_1_2_1_30_1","first-page":"8","article-title":"Detection of accessory spleens with indium 111\u2010labelled autologous platelets","volume":"81","author":"Davis H.H.","year":"1980","journal-title":"Am. J. Haematol."},{"key":"e_1_2_1_31_1","first-page":"304","article-title":"Chronic idiopathic thrombocytopenic purpura","volume":"1135","author":"McMillan R.","year":"1981","journal-title":"N. Engl. J. Med."},{"key":"e_1_2_1_32_1","first-page":"200","article-title":"Splenectomy for hematologic disease. The UCLA experience with 306 patients","volume":"20","author":"Musser G.","year":"1984","journal-title":"Ann. 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