Esplenosis abdominal: una entidad frecuentemente infradiagnosticada

Conejero, J.L. Vercher; Bello-Arqués, P.; Pelegrí-Martínez, L.; Hervás-Benito, I.; Loaiza-Góngora, J.L.; Falgas-Lacueva, M.; Ruiz-Llorca, C.; Pérez-Velasco, R.; Mateo-Navarro, A.

doi:10.1016/j.remn.2010.04.009

Cited by 13 publications

(2 citation statements)

References 11 publications

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“…1 Los implantes esplénicos suelen ser múltiples, pueden ser intra o extraperitoneales y, aunque tienen una estructura histológica ligeramente diferente a la del bazo, su función es similar: elimina células sanguíneas y participa en la inmunidad. 2 En general son asintomáticos, aunque pueden causar dolor abdominal, obstrucción intestinal, hemorragia digestiva o simular neoplasias. 3 Aunque los antecedentes médicos y el comportamiento dinámico en pruebas de imagen pueden orientar la sospecha, el diagnóstico definitivo se realiza con gammagrafía con hematíes desnaturalizados marcados con Tc-99.…”

Section: Discussionunclassified

Esplenosis abdominal: un diagnóstico infrecuente

García¹,

Cordón²,

Martos³

2020

Acta gastroenterol. latinoam.

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Splenosis is an uncommon entity resulting from the spread of splenic tissue to different body compartments. Although it is usually asymptomatic, it can cause a variety of symptoms and must be suspected in patients with a traumatic history of the spleen, including splenectomy. Nevertheless the diagnostic tool of choice to confirm it is the scintigraphy with denatured red blood cells marked with Tc-99.We report the case of an 18-year-old male with a personal history of splenectomy admitted for asthenia, jaundice and abdominal discomfort. An ultrasound identifies multiple abdominal masses predominantly on the left flank, being finally diagnosed of splenosis after CT and scintigraphy with red blood cells marked with Tc-99.

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Section: Discussionunclassified

Esplenosis abdominal: un diagnóstico infrecuente

García¹,

Cordón²,

Martos³

2020

Acta gastroenterol. latinoam.

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“…Although abdominal splenosis is frequently asymptomatic, it can present with hemorrhage, pain secondary to infarction or torsion, or obstruction of the intestinal or urinary tract [1,4]. They can be confused with other entities including peritoneal carcinomatosis, endometriosis, renal cancer, abdominal lymphomas, metastatic disease and hepatic adenomas [5][6][7][8][9][10][11][12]. Sonographic and radiological fi ndings are not specifi c in splenosis, so ultrasound, CT, and MRI show limited value in the diagnostic management of abdominal splenosis [7].…”

Section: Discussionmentioning

confidence: 99%