Thoracic splenosis: Case report of a symptomatic case

Bars, Florent Le; Pascot, Remy; Ricordel, Charles; Verhoye, Jean Philippe; Latour, Bertrand Richard De; Rouzé, Simon

doi:10.1016/j.cjtee.2020.05.003

Cited by 5 publications

(2 citation statements)

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“…Patients usually have no discomfort symptoms, and it is often accidentally found in physical examination, imaging examination, abdominal surgery and other cases [ 2 , 4 ]. Spleen tissue or cells can be transplanted not only in various parts of the abdominal cavity [ 4 , 6 , 8 , 13 – 15 ], but also in the retroperitoneal cavity, the chest and even the brain [ 1 , 3 , 6 , 16 – 18 ]. There have been reported cases of spleen transplantation in the kidney and adrenal gland [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…2 a-c Laparoscopic pelvic exploration: a multiple grayish-brown nodular tissues which was about 1.5 cm in diameter were observed in the pelvic cavity; b a lobulated grayish-brown mass with a diameter of about 9cm was observed in the posterior upper part of the prostate gland and seminal vesicle at the pelvic floor; 2c pelvic wound after mass excision no discomfort symptoms, and it is often accidentally found in physical examination, imaging examination, abdominal surgery and other cases [2,4]. Spleen tissue or cells can be transplanted not only in various parts of the abdominal cavity [4,6,8,[13][14][15], but also in the retroperitoneal cavity, the chest and even the brain [1,3,6,[16][17][18]. There have been reported cases of spleen transplantation in the kidney and adrenal gland [17,18].…”

Section: Discussionmentioning

confidence: 99%

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Pelvic mass causing hematospermia: splenosis

et al. 2022

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Background Most patients with splenosis have no clinical symptoms and do not need intervention. Hematospermia and testicular pain occurred in this patient, which was considered to be related to the huge pelvic implantation of the spleen, which was relatively rare in clinical practice, so we hereby report this case. Case presentation A 28-year-old male patient with a history of splenectomy was admitted to the Urology Department of the Second Affiliated Hospital of Anhui Medical University with the chief complaint of "Hematospermia for 1 month and testicular pain for 2 days". Preoperative imaging examination indicated pelvic mass. Combined with the patient's history of splenectomy for splenic rupture in childhood, the possibility of pelvic spleen implantation was considered. Laparoscopic pelvic exploration was performed. During the operation, multiple grayish-brown nodular tissues were observed in the space between the posterior bladder and rectum, and a lobulated grayish-brown mass with a diameter of about 9 cm was observed in the posterior upper part of the prostate gland and seminal vesicle at the pelvic floor. Two nodular tissues were removed intraoperatively and sent for quick frozen pathology, which was reported as spleen tissue. Further resection of the huge mass was performed, and the postoperative pathological results were consistent with the diagnosis of splenosis. Conclusion We report a rare case of splenosis presenting with hemospermia and testicular pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pelvic mass causing hematospermia: splenosis

et al. 2022

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Posttraumatic thoracic splenosis in a 77-year-old patient after a motor vehicle accident

Maddamma¹,

Owusu-Ansah²,

Barreiro³

2023

Respiratory Medicine Case Reports

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Unveiling three accessory spleens in one patient: a rare case report and literature review

Hanifa,

Alhussein,

Mahmandar

et al. 2024

Int J Emerg Med

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Background During embryogenesis, the spleen undergoes intricate developmental processes, originating from mesenchymal cells in the dorsal mesentery. An accessory spleen, a common anomaly found in autopsies and abdominal CT scans, can often be mistaken for different types of tumors. To the best of our knowledge, this is the first case in Syria documenting the occurrence of 3 accessory spleens in a patient who had previously undergone splenectomy. Case presentation A 33-year-old male presented with right hypochondrium pain, sharp and radiating to the right flank, exacerbated by movement and large meals. Past medical history included mild Irritable Bowel Syndrome (IBS) and splenectomy due to a traumatic accident in childhood. On admission, vital signs were stable, with abdominal tenderness in the right upper quadrant. Laboratory investigations showed normal values. Ultrasound revealed a lobulated mass at the right adrenal gland (4.5 × 5 cm) with an isoechoic to hypoechoic texture. Multi-slice computed tomography (MSCT) Scan showed multiple nodules in the right adrenal gland, regular in shape, exerting a compressive mass effect, and significant lymphadenopathy around the abdominal aorta. Elevated metanephrine levels raised suspicion of an extra-adrenal pheochromocytoma. Laparoscopic surgery was performed, revealing accessory spleens and normal adrenal tissue with no malignancy. Conclusion Healthcare providers should consider accessory spleens as a differential diagnosis for masses near the adrenal glands. Multiple accessory spleens in the adrenal region can complicate cases. Accessory spleens in uncommon locations like the adrenal glands can be challenging to diagnose and manage. Supplementary Information The online version contains supplementary material available at 10.1186/s12245-024-00758-3.

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Thoracic splenosis: Case report of a symptomatic case

Cited by 5 publications

References 5 publications

Pelvic mass causing hematospermia: splenosis

Pelvic mass causing hematospermia: splenosis

Posttraumatic thoracic splenosis in a 77-year-old patient after a motor vehicle accident

Unveiling three accessory spleens in one patient: a rare case report and literature review

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