Renal Pseudo-tumor Related to Renal Splenosis: Imaging Features

Tordjman, Mickaël; Eiss, D.; Dbjay, Jonathan; Crosnier, Adeline; Compérat, Eva; Corréas, Jean-Michel; Aubert, Nicolas; Hélénon, O.

doi:10.1016/j.urology.2018.01.017

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…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%

“…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]. Most asymptomatic spleen implants do not need the treatment.…”

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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Abdominal splenosis and its differential diagnoses: What the radiologist needs to know

Vernuccio

Dimarco

Porrello

et al. 2021

Current Problems in Diagnostic Radiology

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Renal pseudomass: be aware of splenorenal fusion

Jafari

Iranpour²,

Haseli

2018

BMJ Case Reports

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Splenosis is the heterotopic implantation of splenic tissue that usually occurs in a previous major abdominal trauma or splenectomy setting. However, splenorenal fusion is an uncommon entity, categorised as a developmental anomaly. There have been several confirmed cases in the literature. Despite some helpful imaging features, it can be easily misdiagnosed as a neoplastic renal mass, resulting in unnecessary nephrectomy. Here we presented a case of splenorenal fusion in an elderly female patient, which was initially misdiagnosed as renal cell carcinoma in sonography. More specific imaging modalities and biopsy are helpful in suggesting the correct diagnosis.

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Renal Pseudo-tumor Related to Renal Splenosis: Imaging Features

Cited by 4 publications

References 27 publications

Pelvic mass causing hematospermia: splenosis

Pelvic mass causing hematospermia: splenosis

Abdominal splenosis and its differential diagnoses: What the radiologist needs to know

Renal pseudomass: be aware of splenorenal fusion

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