Peritoneal nodules after splenectomy: Splenosis or carcinomatosis?

Trad, D; Mériam, Sabbah; Bibani, N; Hasnaoui, Anis; Ehsen, Ben Brahim

doi:10.1016/j.lpm.2018.06.006

Cited by 2 publications

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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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“…Splenosis may masquerade as malignancies, including carcinomatosis [14], liver tumor [15], metastatic right adrenal mass [16], lymphoma [17], and lung cancer [18]. When compounded by risk factors like smoking, an accurate diagnosis of a pleural mass as thoracic splenosis can be difficult [19].…”

Section: Discussionmentioning

confidence: 99%

A case of thoracoabdominal splenosis

Kosydar

Sanchirico

Pfeiffer

2020

Radiology Case Reports

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We describe a case of a 38-year-old male with a remote history of motor vehicle trauma who presented to the emergency department with 1-week history of progressively worsening abdominal pain localized to the epigastric region. Patient history included splenectomy. Computerized tomography demonstrated multiple masses in the left pleural space as well as masses continuous with the diaphragm and abdominal wall in the left upper quadrant. In addition, a lobulated mass was identified in the right upper quadrant along the anterior right hepatic lobe. A diaphragmatic defect was noted containing splenic tissue. A diagnosis of splenosis was made. Disseminated splenosis presenting in both the thorax and abdomen is rare and poorly documented. This case serves to further illuminate this condition.

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Peritoneal nodules after splenectomy: Splenosis or carcinomatosis?

Cited by 2 publications

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Pelvic mass causing hematospermia: splenosis

Pelvic mass causing hematospermia: splenosis

A case of thoracoabdominal splenosis

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