Splenosis as a Cause of Testicular Pain: Laparoscopic Management

Abstract

This is a case report of a 37-year-old man with severe testicular pain unresolved after conventional investigative and therapeutic methods. On the basis of his history of abdominal trauma followed by emergency splenectomy and evidence of functioning splenic tissue on a radionuclide scan, the diagnosis of splenosis was established. Laparoscopic exploration was done, and the initial diagnosis confirmed. Splenic tissue located at the right inguinal ring was removed. Testicular pain abated after the procedure.

Laparoscopic treatment of splenosis: Report of a case

“…Among these there were only nine case reports of splenosis, in which the original diseases were apparent and the patients were treated with laparoscopic surgery (Table 1). [3][4][5][6][7][8][9][10][11] The original diseases were trauma and immune thrombocytopenic purpura. In most cases of splenosis following splenic injury, the chief complaint was abdominal pain, the lesions were located in the pelvic cavity, and the operation performed was tumor extirpation.…”

Asymptomatic thoracic splenosis after thoracoabdominal trauma: establishing a diagnosis

“…Cases of intracranial, 14 subcutaneous, 19 pulmonary, 15 pleural, ovarian, scrotal, 10 hepatic, pancreatic and peritoneal 20 splenosis have been reported in the literature after traumatic disruption. Splenosis is common, and when present, typically presents with numerous lesions (up to 100).…”