Presentation
Splenectomy following rupture in motor vehicle accident 20 years prior to the first scan. CT scan for unrelated reasons.
Patient Data
Age: 60 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/80488/annotated_viewer_json?iframe=true\u0026lang=us"}
Multiple uniformly enhancing rounded masses. Absent spleen due to splenectomy for trauma many years ago.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/45833/annotated_viewer_json?iframe=true\u0026lang=us"}
Scan in 2016 for renal calculi, noted multiple rounded mass lesion in peritoneal fat.
Case Discussion
The presence of splenic tissue outside the spleen can be due to 2 causes, either an accessory spleen (splenunculi) or splenosis whereby small fragments of spleen that break off the organ (usually due to trauma) can implant and gain a blood supply acting as small independent spleens. This is said to be surprisingly common (65% of traumatic splenic rupture)!