Pelvic splenosis—A rare cause of pelvic mass

Degheili, Jad A.; Heidar, Nassib Abou

doi:10.1002/ccr3.2419

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…Тем не менее у 70 % пациентов со спленозом в анамнезе имеется травма селезенки, сопровождаемая почти во всех случаях последующей спленэктомией [5,6]. В то же время частота встречаемости спленоза у пациентов с травмой селезенки в анамнезе, согласно данным некоторых исследований, может достигать от 67 до 80 % после лапароскопической спленэктомии [7,8].…”

Section: Introductionunclassified

Abdominal peritoneal splenosis (clinical case)

Zvezda,

Tamrazov,

Fedorov

et al. 2023

Onkol. koloproktol.

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Background. Splenosis, or heterotopic autotransplantation of spleen tissue, is a benign disease, occurring in patient after splenectomy. This formation demands correct differential diagnosis because it is often diagnosed as a tumor. Main methods of splenosis diagnosis are ultrasound inspection, CT, MRI, but detailed anamnesis is also important to set the correct diagnosis. The clinical case in this report is aimed to show importance of timely and correct diagnosis which will allow to avoid unnecessary invasive diagnostic procedures, late diagnosis and decreasing of medical assistance quality. Clinical case. patient 61 y. o. is suspected on a tumor in left iliac region. He noted the trauma after falling on a back. The inspection was performed: CT of iliac region showed formation in the small intestines. Splenectomy was carried out 20 years ago. The patient is set to the clinical medical center “Medicinsky gorod” to a surgeon-oncologist. physical examination and laboratory analysis showed no pathological changes. CT of abdominal organs showed formation with regular edges. MRI of pelvic organs with contrast agent showed formation accumulating contrast irregularly. Control CT of abdominal organs showed no increasing of formation size. Conclusion. Abdominal splenosis is a benign disease, occurring after spleen tissue implantation in the abdominal cavity after spleen trauma or splenectomy. Splenosis course is usually asymptomatic and it is often diagnoses as a peritoneal canceromatosis mistakenly. Splenosis has to be included in the differential diagnosis in patients with trauma or splenectomy in anamnesis.

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Section: Introductionunclassified

Abdominal peritoneal splenosis (clinical case)

Zvezda,

Tamrazov,

Fedorov

et al. 2023

Onkol. koloproktol.

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Imaging findings of a rare pararectal splenosis and literature review

Yurtsever

Çakır

et al. 2021

Radiography

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Disseminated spontaneous postsplenectomy splenosis mimicking disseminated malignant tumor process. Clinical observation

Medvedeva,

Darenskaya,

Topalov

2024

Medicinskij alfavit

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This article is devoted to such a benign acquired condition as postsplenectomy splenosis, which is often incorrectly interpreted as a primary malignant tumor or secondary (metastatic) tumor process. The article provides a modern definition of the concept of «splenosis», examines the main mechanisms of autotransplantation of splenic tissue, indicates the most typical localizations of splenosis foci, provides the timing of the onset of splenosis, considers possible clinical manifestations and potential complications of this condition, discusses modern approaches to diagnostics, differential diagnostics of splenosis, tactics of management and treatment of such patients in detail, and also provides own author’s clinical observation of disseminated spontaneous postsplenectomy splenosis mimicking disseminated malignant tumor process. The feature of this clinical case is the presence of hereditary microspherocytosis (congenital microspherocytic hemolytic anemia, Minkowski-Chauffard disease) in the patient, which served as the reason for splenectomy. The article is illustrated with original computed tomography and magnetic resonance imaging.

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Pelvic splenosis—A rare cause of pelvic mass

Cited by 4 publications

References 2 publications

Abdominal peritoneal splenosis (clinical case)

Abdominal peritoneal splenosis (clinical case)

Imaging findings of a rare pararectal splenosis and literature review

Disseminated spontaneous postsplenectomy splenosis mimicking disseminated malignant tumor process. Clinical observation

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