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Splenosis as a rare cause of abdominal pain


Authors: M. Smolár;  J. Lúčan;  I. Dedinská;  M. Hošala;  Ľ. Laca
Authors‘ workplace: Chirurgická klinika a Transplantačné centrum, UN Martin prednosta: prof. MUDr. Ľ. Laca, PhD.
Published in: Rozhl. Chir., 2016, roč. 95, č. 4, s. 168-171.
Category: Case Report

Overview

Introduction:
Splenosis is the autotransplantation of splenic tissue in atypical locations in the abdomen, chest or other parts of the body.

Case report:
Authors present a case of splenosis in a 35 years old woman hospitalized with abdominal pain, who underwent splenectomy for traumatic rupture with splenic tissue implantation in the omentum 19 years ago. Surgical revision was indicated for intensive pain. Histopathology confirmed the diagnosis of splenosis in the excised tissue.

Conclusion:
Despite the abandonment of splenic tissue autotransplantation after splenectomy, surgeons may still encounter the diagnosis of splenosis in patients after traumatic splenic rupture. Any incidental finding of splenosis during an operation for another indication should be sent for histopathology examination.

Key words:
splenosis, splenectomy − abdominal pain − scintigraphy


Sources

1. Boudová L, Kazakov DV, Zahálka M, et al. Splenóza v podkoží břišní stěny. Rozhl Chir 2006;85:477−80.

2. Thourani VH, Sharma J, Duarte IG, et al. Intrathoracic splenosis. The Annals of Thoracic Surgery 2005;80:1934−6.

3. Palkar S. Splenosis presenting as pelvic pain. Bombay Hospital Journal 2001;43:434−6.

4. Fleming C, Dickson FR, Harrison EG Jr. Splenosis – Autotransplantation of splenic tissue. Am J Med 1976;61:414−9.

5. Nielsen JL, Ellegaard J, Hansen HH. Detection of splenosis and ectopic spleens. Scand J Haematol 1981;27:51−6.

6. Likhite VV. Opsonin and leukophilic gamma-globulin in chronically splenectomised rats with and without heterotropic autotransplanted splenic tissue. Nature 1975;253:742–4.

7. Seufert RM. Die Milztransplantation − Standortbestimmung. Chirurg 1986;57:182.

8. Weis SM, Rossato FE, Stewart E. Splenic autotransplant function in experimental bacteremia. Surg Forum 1979;30:30−2.

9. Schwartz AD, Dadash-Zadeh M, Goldstein R, et al. Antibody response to intravenous immunization following splenic tissue autotransplantation in Sprague-Dawley rats. Blood 1977;49:779−83.

10. Oakes DD., Froehlich JP., Charters AC. Intraportal splenic autotransplantation in rats: Feasibility and effectiveness. J Surg Res 1982;32:7−14.

11. Belko I, Hromec A, Jakubovský J, et al. Slezina. 1. vydanie Martin, Osveta 1992:1−252.

12. Schnorrer M. Slezina. In: Černý J. Špeciálna chirurgia 2 - Chirurgia brušných orgánov a retroperitonea. 2. vydanie Martin, Osveta 1996:342−65.

13. Meissner K, Meiser G. Die heterotope Autotransplantation von Milzpulpa nach irreparabler Milzruptur. Acta Chirurgica Austriaca 1983;15:87−92.

14. Vobořil Z. Autotransplantace sleziny (Experimentální chirurgická část). Rozhl Chir 1986;65:500−7.

15. Boernemisza G, Tarsoly E, Mikó I, et al. Partial experimental autotransplantation of the spleen. Acta Chir Hung 1986;27: 79−86.

16. Müller U, Röthlin M. Splenic neoformation following trauma-induced splenectomy—diagnosis and function. Swiss Surgery 1995:230–5.

17. di Costanzo GG, Picciotto FP, Marsilia GM, et al. Hepatic splenosis misinterpreted as hepatocellular carcinoma in cirrhotic patients referred for liver transplantation: report of two cases. Liver Transplantation 2004;10:706–9.

18. Berman AJ, Zahalsky MP, Okon SA, et al. Distinguishing splenosis from renal masses using ferumoxide-enhanced magnetic resonance imaging. Urology 2003;62:748x-748xii.

19. Younan G, Wills E, Hafner G. Splenosis: A rare etiology for bowel obstruction- A case report and review of the literature. Case Rep Surg 2015; http://dx.doi.org/10.1155/2015/890602.

20. Al-Ahmadi M, Brundage S, Brody F, et al. Splenosis of the mesoappendix: case report and review of the literature. J R Coll Surg Edinb 1998;43:200−2.

21. Pachowicz M, Mocarska A, Starosławska E, et al. Accessory spleen mimicking pancreatic tumour: evaluation by 99mTc-labelled colloid SPECT/CT study. Report of two cases and a review of nuclear medicine methods utility. Folia Morphol (Warsz) 2015;74:532−9.

22. Třeška V, Skalický T, Chudáček Z, et al. Splenóza jater u nemocného po operaci maligního seminomu. Rozhl Chir 2005;84:452−5.

23. Yang K, Chen XZ, Liu J, et al. Splenosis in gastric wall mimicking gastrointestinal stromal tumor. Endoscopy 2013;45 Suppl 2 UCTN:E82-3.

24. Li B, Huang Y, Chao B, et al. Splenosis in gastric fundus mimicking gastrointestinal stromal tumor: a report of two cases and review of the literature. Int J Clin Exp Pathol 2015;8:6566−70.

25. Fremont RD, Rice TW. Splenosis: A review. South Med J 2007;100:589−93. 

26. Gerber D, Frey MK, Caputo TA. Pelvic splenosis misdiagnosed as a uterine sarcoma. Gynecol Oncol Rep 2015;12:1−2.

27. Rosenberg RJ, Sziklas JJ, Rich DA. Dual radionuclide subtraction imaging of the spleen. Semin Nucl Med 1985;15:299−304.

28. Gunes I, Yilmazlar T, Sarikaya T, et al. Scintigraphic detection of splenosis: Superiority of tomographic selective spleen scintigraphy. Radiology 1994;49:115−7.

29. Sty JR, Conway JJ. The spleen: development and functional evaluation. Semin Nucl Med 1985;15:276−98.

Labels
Surgery Orthopaedics Trauma surgery
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