Post-splenectomy splenosis

Case contributed by Yaïr Glick


Previous splenectomy. Splenosis suspected on ultrasonography.

Patient Data

Age: 60 years

Three intraperitoneal structures in left abdomen with near-identical density: infradiaphragmatic, lateral to left kidney with linear peripheral calcifications (largest one, measuring 4.0 cm across), and between loop of jejunum and abdominal wall. Several tiny foci of same density in left peritoneum, several of which are located between the left kidney and the descending colon.

Fatty liver. Tiny hypodense focus in segment III, too small to characterize.

To summarize:
Splenules in left peritoneum, some of which are only several mm in diameter.

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