Solitary ovarian splenosis

Area of Science:

• Gynecological pathology
• Surgical pathology
• Reproductive medicine

Background:

• Splenosis is a rare condition involving the autotransplantation of splenic tissue, most commonly occurring in the pelvic region of gynecological patients.
• It often presents as multiple nodules, frequently mimicking endometriosis, leading to diagnostic challenges.
• Previous reports of ovarian splenosis have involved multiple nodules alongside pelvic or serosal involvement.

Observation:

• A case of an asymptomatic, solitary splenotic nodule located within the right ovary is presented.
• The nodule was discovered incidentally during histopathological examination of the surgical specimen.
• This represents a unique presentation distinct from previously documented cases.

Findings:

• The histopathological examination confirmed the presence of splenic tissue within the ovary.
• This is the first documented instance of a solitary intraovarian splenosis.
• The absence of symptoms highlights the incidental nature of this specific presentation.

Implications:

• This case expands the spectrum of splenosis presentations in gynecological pathology.
• It underscores the importance of considering rare differential diagnoses in ovarian pathology, even in asymptomatic patients.
• Further awareness of solitary intraovarian splenosis may aid in accurate diagnosis and management, preventing misdiagnosis as other gynecological conditions.