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Splenunculus masquerading as colonic malignancy.

Somprakas Basu1, Ajay Kumar Ray, Shyamapada Banerjee

  • 1Department of General Surgery, North Bengal Medical College and Hospital, Sushrutnagar, Darjeeling, India. sombasu@hotmail.com

International Surgery
|January 14, 2004
PubMed
Summary
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A rare case of splenunculus, a benign splenic tissue mass, was diagnosed in a 60-year-old woman. This finding highlights diagnostic challenges mimicking colon cancer.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Imaging

Background:

  • Colonic masses near the splenic flexure can present diagnostic challenges.
  • Benign splenic anomalies can mimic intra-abdominal malignancies.

Observation:

  • A 60-year-old woman presented with a palpable left hypochondrium mass.
  • Initial investigations suggested a malignant colonic growth.

Findings:

  • Exploratory laparotomy revealed a 5 x 3 cm mass resected with the colon.
  • Histopathology confirmed the mass as a splenunculus, a rare benign splenic tissue.

Implications:

  • Splenunculus can mimic colonic malignancy, posing diagnostic difficulties.
  • Accurate preoperative diagnosis is crucial for appropriate surgical management.

Related Experiment Videos

  • This case underscores the importance of comprehensive histopathological examination.