Spontaneous Hemorrhage of Abdominal Splenosis

Katz, Douglas S.; Moshiri, Mariam; Smith, G. Jeffrey; Meiner, Evan M.; Fruauff, Arthur A.

doi:10.1097/00004728-199809000-00010

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…3-5,8 -15,17 Splenosis of the small intestine and stomach has presented with spontaneous rupture, extensive intestinal bleeding, or at times chronic anemia. 13,14 Thoracic splenosis in one case has been manifested as in our case with hemoptysis, which subsided after surgical resection of the lesions. 18 It has also presented as a primary or metastatic neoplastic process of the lung or pleura, esophageal neoplasia, and mediastinal lymphoma.…”

Section: Discussionsupporting

confidence: 49%

“…1,8,9 Other sites of presentation are the bowel wall, stomach, mediastinum, uterine-serosal surface, skin, liver, adrenal gland, kidney, and brain. [3][4][5]8,[11][12][13][14][15][16][17] Splenosis has also been found incidentally at autopsies, with incidence ranging from 60 -67% of cases with a history of posttraumatic splenectomy. 8 It has been reported that thoracic splenosis usually becomes evident 6 -42 mo after injury, although more than one third of cases are asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

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Thoracic splenosis diagnosed by fine‐needle aspiration cytology: A case report

Syed¹,

Zaharopoulos²

2001

Diagnostic Cytopathology

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A case of thoracic splenosis diagnosed by fine-needle aspiration (FNA) of subpleural lung lesions is presented. The patient, a 49-yr-old male with a history of gunshot wound to his trunk with splenic rupture and splenectomy several years previously, presented with recent hemoptysis and multiple subpleural solid nodules shown in the left lung field by CT scan. As the possibility of a metastatic malignancy vs. mesothelioma was entertained, an FNA was performed on one of these lesions, revealing lymphoid tissue with abundant vascularity simulating the structure of splenic tissue. In view of this finding, supported by the absence of splenic outline in the CT radiograph, the diagnosis of splenosis was made. This is the fourth reported case of thoracic splenosis in which FNA cytology was utilized for diagnosis, yet the first in which the diagnosis was based exclusively on the FNA cytologic findings. Clinical, pathologic, and diagnostic aspects of this entity are discussed.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Thoracic splenosis diagnosed by fine‐needle aspiration cytology: A case report

Syed¹,

Zaharopoulos²

2001

Diagnostic Cytopathology

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“…Reports of splenosis misrepresenting tumour in the extra-abdominal presentation, causing abdominal pain, intestinal obstruction, and haemoperitoneum in both traumatic and spontaneous settings have all been described. [2][3][4][5]8,9,13,15 Furthermore, most have involved management in the form of surgical excision. 3,4,8,9,13,15 As the management of blunt splenic trauma increasingly becomes nonoperative, we may be seeing more cases of significant complications of splenosis.…”

Section: Discussionmentioning

confidence: 99%

“…While it has been reported to cause a number of complications including bowel obstruction, abdominal pain, mistaken neoplasm and haemorrhage, splenosis is most commonly an incidental finding at laparotomy or on imaging studies. [2][3][4][5]8,9,13,15 Leker et al have described the operative removal of ectopic splenic tissue due to blunt trauma and rupture. 9 The presence of such peritoneal implants has also been suggested to be beneficial, by conferring some degree of immunocompetence.…”

Section: Introductionmentioning

confidence: 99%

Nonoperative management of traumatic rupture of splenosis

et al. 2008

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“…Indeed, removal of the accessory spleen or spleen fragments is therapeutic for these diseases ( 2 ). In addition, splenosis may cause severe symptoms depending on the site of implantation ( 3 , 4 , 5 ). Splenosis may also be asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Selective Spleen Scintigraphy in the Evaluation of Accessory Spleen/Splenosis in Splenectomized/Nonsplenectomized Patients and the Contribution of SPECT Imaging

Ekmekçi¹,

Diz‐Küçükkaya²,

Türkmen³

et al. 2015

Mirt

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Objective: We aimed to evaluate the results of selective spleen scintigraphy (SSS) and contribution of SPECT imaging to planar imaging in splenectomized and nonsplenectomized patients.Methods: We retrospectively examined 112 SSSs of 96 patients. The patients were divided into two groups as splenectomized group (SP) and non-splenectomized group (NSP). The findings were evaluated by comparing the results of surgery,computerized tomography (CT), ultrasonography (USG) and magnetic resonance imaging (MRI). In addition, whether or not differences existed between the results of SPECT and planar imaging was determined.Results: Of 66 scintigraphies performed in the NSP group, 3 (5%) had positive, 3 (5%) had suspicious and 60 (90%) had negative results. In the NSP group, 28 patients underwent surgery and 12 accessory spleens were removed. Only 3 of these tissues were detected by scintigraphy. Of 46 patients in the SP group, 26 (57%) had positive findings whereas 20 (43%) had negative scintigraphies. Twelve accessory spleens/splenosis were removed surgically in 10 patients with a positive SSS in the SP group. There were no false positive results in both groups of patients who underwent surgery. There was no significant difference between the results of SSS, USG and CT. Of 39 patients to whom SPECT were performed, 10 had positive results both with planar and SPECT imaging. On the other hand, 26 patients, 3 of whom had suspected findings in SPECT images, demonstrated negative results when evaluated with both imaging methods. Remaining 3 were considered suspicious by only SPECT images for the hilar area.Conclusion: SSS has high specificity in the detection of accessory spleens/splenosis. The sensitivity of SSS is low in the NSP group,but higher in the SP group. There is no contribution of SPECT imaging to planar imaging.

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Spontaneous Hemorrhage of Abdominal Splenosis

Cited by 12 publications

References 7 publications

Thoracic splenosis diagnosed by fine‐needle aspiration cytology: A case report

Thoracic splenosis diagnosed by fine‐needle aspiration cytology: A case report

Nonoperative management of traumatic rupture of splenosis

Selective Spleen Scintigraphy in the Evaluation of Accessory Spleen/Splenosis in Splenectomized/Nonsplenectomized Patients and the Contribution of SPECT Imaging

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