Symptomatic Intrathoracic Splenosis More than Forty Years After a Gunshot Injury

Khan, Adnan; Khan, Sana; Pillai, Saran

doi:10.7759/cureus.5985

Cited by 4 publications

(7 citation statements)

References 16 publications

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“…The incidence of abdominal splenosis ranges from 16 to 67% [ 1 ]. Extraabdominal locations are much rarer [ 6 , 7 ]. The time interval between spleen injury and diagnosis of splenosis ranges from 5 months to 32 years (average 10 years) [ 2 , 3 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the hematogenous dissemination is considered as a second mechanism. The latest theory assumes that in response to tissue hypoxia, spleen erythrocyte progenitor cells enter the liver through the portal vein where they then grow [ 5 , 6 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Because of the lack of symptoms, the diagnosis is often accidental. A peripheral blood smear may show absence of typical post-splenectomy hematological markers such as Howell–Jolly bodies or siderocytes, an increase in reticulocyte count, or protective pneumococcal antibody levels in an unvaccinated person [ 3 , 4 , 6 , 7 ]. Common imaging tests, such as ultrasound or CT, have a limited diagnostic value in this disorder [ 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Common imaging tests, such as ultrasound or CT, have a limited diagnostic value in this disorder [ 4 , 7 ]. The gold standard method is radionuclide imaging using Tc-99 m-labeled and heat-damaged erythrocytes [ 5 , 6 ]. In doubtful cases, histopathological examination is recommended [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…After the diagnosis has been confirmed, no further treatment is required, except for symptomatic patients [ 7 ]. Surgery is indicated in all patients with symptoms or complications, in case of an uncertain diagnosis and suspected neoplastic process [ 4 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Splenosis mimicking lymphadenopathy

Chorbińska

Krajewski

Sroczyński

et al. 2020

Journal of Surgical Case Reports

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Splenosis is an autotransplantation of splenic tissue following traumatic rupture of the spleen or splenectomy. Generally, splenosis is asymptomatic. Therefore, most cases are incidental findings made during surgery, autopsy or after imaging studies for other purposes. Splenosis is a benign phenomenon, but it often shows similarity to the metastatic process. We present a case of asymptomatic intraperitoneal splenosis occurring in a 57-year-old male, in whom computed tomography urography showed lymphadenopathy suggesting a neoplastic process. A reconnaissance laparotomy was performed, and specimens were taken and sent for histopathological examination. The microscopic image of all the collected lesions corresponded to the normal spleen tissue. Due to an increasing number of traffic accidents, it is worth taking abdominal splenosis into consideration in the differential diagnosis of tumor-like changes, especially in patients with a history of splenic trauma or spleen removal. As a result, unnecessary surgery can be avoided in many cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Splenosis mimicking lymphadenopathy

Chorbińska

Krajewski

Sroczyński

et al. 2020

Journal of Surgical Case Reports

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Calcification in Thoracic Splenosis

Ullah

Chauhan

Friedman

et al. 2022

Case Reports in Pulmonology

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Splenosis is a rare condition described as the implantation of ectopic splenic tissue, usually after a splenic rupture. Thoracic splenosis refers to acquired ectopic splenic tissue found within the thoracic cavity, often caused by thoracoabdominal trauma or surgery. Most cases are asymptomatic and many years may elapse before they are incidentally discovered on chest radiography or thoracic computed tomography. Splenosis is often misinterpreted as a malignancy on initial imaging. We wish to highlight a rare case of thoracic splenosis presenting with calcified and non-calcified nodules. Only two other cases of calcification have been reported in intrathoracic splenosis, neither of which provided CT images of this finding.

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Splenosis: fetters of the unknown or step through existing precautions (part II)

Губергриц¹,

Зубов²,

Бородий³

et al. 2021

Medicinskaâ vizualizaciâ

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Aim: to present a review of the literature on post-traumatic splenosis of different localization, as well as to complete the presentation of a rare clinical case of multiple post-traumatic intra-abdominal splenosis in combination with type 2 macroamylasemia, chronic pancreatitis in a 27-year-old woman.Main results. The literature data of the pathogenesis and classification of splenosis are considered. Close attention is paid to the clinical manifestations of post-traumatic splenosis: the results of imaging studies in intrathoracic, disseminated abdominal, intrahepatic and intrapancreatic forms of splenosis are presented.The end of the description of a rare clinical case of progressive multiple post-traumatic intra-abdominal splenosis in combination with type 2 macroamylasemia and chronic pancreatitis is presented. The process of diagnostic search, differential diagnosis is described, the controversial points to the patient’s management, the possibility and expediency of pregnancy are considered.Conclusion. The exclusivity of this clinical case requires further dynamic monitoring, especially in the possible pregnancy.

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Symptomatic Intrathoracic Splenosis More than Forty Years After a Gunshot Injury

Cited by 4 publications

References 16 publications

Splenosis mimicking lymphadenopathy

Splenosis mimicking lymphadenopathy

Calcification in Thoracic Splenosis

Splenosis: fetters of the unknown or step through existing precautions (part II)

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