Splenosis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Post partum abdominal pain. History of previous trauma with splenectomy.

Patient Data

Age: 30
Gender: Female
CT

CT abdomen

The spleen is missing; a few (about 4 in number) variable sized enhancing lesions are seen at the anatomical site of the spleen, two just lateral to the greater curvature of the stomach, one just anterior to the distal portion of the gastric body and another one seen indenting the inferior border of the right hepatic lobe averaging 1.9 x 1.5 cm (largest).

CT

Annotated images

Enhancing soft tissue nodules at the upper abdomen suggestive of splenosis (arrowed).

Case Discussion

Abdominal splenosis refers to multiple ectopic splenic tissues. It is usually occurs after previous trauma with splenic injury or splenectomy. Their greatest importance being the need to distinguish them from other abdominal nodular pathologies as abdominal lympnadenopathy like in this case (mesenteric lymph nodes), peritoneal metastasis and endometriosis. So, proper history taking in such cases is important.

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Case information

rID: 54000
Case created: 18th Jun 2017
Last edited: 21st Jun 2017
Inclusion in quiz mode: Excluded

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