Simultaneous small bowel and colon obstruction due to splenosis. A case report and review of literature

El-Kheir, Alaa; Abdelnour, M.; Boutros, Jihad G.

doi:10.1016/j.ijscr.2019.03.040

Cited by 16 publications

(18 citation statements)

References 18 publications

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“…Gastrointesitnal bleeding occurs when splenic tissue is located within the bowel wall and through intestinal mucosae. Bowel obstruction caused by bridges and adhesions between splenic implants in mesentery and bowel wall has been reported [ 11 , 12 ]. However, bowel obstruction due to adhesions could be triggered not by the splenosis itself, but by a previous splenectomy, making splenosis an incidental finding after all [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Cecal splenosis mimicking gastrointestinal stroma tumor. Case report and review of the literature

Riojas-Garza

Eliana

Torres‐Martinez

et al. 2021

International Journal of Surgery Case Reports

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Introduction Abdominal splenosis is a rare condition where autotransplanted ectopic spleen tissue is found in the abdominal cavity after spleen injury or splenectomy. While abdominal splenosis is mostly described as asymptomatic, bowel splenosis can present with abdominal pain, obstipation or gastrointestinal (GI) bleeding. Scarce information on bowel splenosis exists and high index of suspicion is needed for diagnosis. We present the case of a patient with abdominal pain and a cecal mass mimicking gastrointestinal stroma tumor (GIST) found to have bowel splenosis after laparoscopic resection. Presentation of case A 45-year-old female was evaluated for a 6-month history of abdominal pain in right-lower quadrant. She had past medical history of blunt abdominal trauma and splenectomy 35 years before symptoms. An abdominal contrast-enhanced computed tomography (CT) reported a 4.2 × 4.6 × 4.6 cm solid mass located in the antimesenteric border of the cecum, with calcifications and arterial enhancement. Colonoscopy found no epithelial lesions. A diagnostic laparoscopy was done, and resection of the mass achieved. Transoperative histopathological diagnosis revealed ectopic spleen tissue. Discussion It is difficult to know whether abdominal pain in bowel splenosis is actually triggered by splenosis itself or by an unrelated cause, making diagnosis incidental. There are no particular imaging findings suggestive of splenosis, and surgical resection is often done under uncertain diagnosis. Conclusion Bowel splenosis could present as abdominal pain variable time after spleen injury or splenectomy. Clinical features and imaging characteristics are nonspecific and similar to those of GIST. Most cases of splenosis are diagnosed after surgery.

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Section: Discussionmentioning

confidence: 99%

Cecal splenosis mimicking gastrointestinal stroma tumor. Case report and review of the literature

Riojas-Garza

Eliana

Torres‐Martinez

et al. 2021

International Journal of Surgery Case Reports

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“…Most patients with splenosis are asymptomatic. It is usually found accidentally, during physical or imaging examination, autopsy or abdominal surgery for another reason [ 7 , 9 , 10 ]. That was the case with our patient who had the splenosis discovered during diagnosis for nephrolithiasis.…”

Section: Discussionmentioning

confidence: 99%

“…That was the case with our patient who had the splenosis discovered during diagnosis for nephrolithiasis. The symptoms may include nonspecific abdominal pain, palpable abdominal mass, gastrointestinal or intraabdominal hemorrhage, bowel obstruction or hydronephrosis [ 2 , 3 , 10 ]. Spleen implants remain functional, which can have positive and negative implications.…”

Section: Discussionmentioning

confidence: 99%

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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“…Помимо посттравматического генеза спленоз может иметь ятрогенный характер в случае целенаправленной аутотрансплантации ткани селезенки при необходимости удаления данного анатомического образования, проводящейся с целью профилактики постспленэктомического синдрома. Как правило, регенераторные очаги селезеночной ткани локализуются на париетальной и висцеральной брюшине, в ложе удаленной селезенки, но могут обнаруживаться во всем теле (даже в головном мозге), в различном количестве и разнообразных размеров [1][2][3][4][5].…”

Section: обзор литературы I спленоз дефиницияunclassified

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

Губергріц¹,

Зубов

Borodiy

et al. 2020

Medicinskaâ vizualizaciâ

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Aim: to present 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, clinically manifested like a palpable mass in the right iliac region.Main results. In the first part of the article, a detailed analysis of the medical history is given, the results of archival imaging studies and the data of laboratory and instrumental examination at the time of treatment are presented. The literature review presents modern definitions of splenosis, as well as brief information about the anatomy and physiology of the spleen.Conclusion. The diagnostic process requires a detailed analysis of the history of the disease, the performance of laboratory studies in combination with modern imaging studies, as well as a thorough study of the literature data.

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Simultaneous small bowel and colon obstruction due to splenosis. A case report and review of literature

Cited by 16 publications

References 18 publications

Cecal splenosis mimicking gastrointestinal stroma tumor. Case report and review of the literature

Cecal splenosis mimicking gastrointestinal stroma tumor. Case report and review of the literature

Splenosis mimicking lymphadenopathy

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

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