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Splenosis mimicking pelvic mass.
Yasemin Tasci1, Fulya Kayikcioglu, Deniz Cavusoglu
1Department of Gynecology, SSK Ankara Maternity Hospital, Ankara, Turkey.
Obstetrics and Gynecology
|November 2, 2005
Summary
Splenosis, a rare complication after splenectomy, can present as a pelvic mass. This case highlights the importance of considering splenic implants in the differential diagnosis of pelvic tumors.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
- Abdominal Imaging
Background:
- Splenosis is a rare condition resulting from autotransplantation of splenic tissue after splenectomy.
- It typically remains asymptomatic but can occasionally present with mass-like lesions.
Observation:
- A 34-year-old female with a history of childhood splenectomy presented with a pelvic mass.
- Imaging revealed a right adnexal mass and myomatous uterus.
- Laparotomy identified multiple splenic implants throughout the abdomen.
Findings:
- The splenic implants mimicked benign or malignant pelvic tumors.
- Surgical intervention including hysterectomy, salphengectomy, and appendectomy was performed.
Implications:
- Splenic implants post-splenectomy can present as diagnostic challenges, mimicking other pelvic pathologies.
- Awareness of splenosis is crucial for accurate diagnosis and appropriate management of pelvic masses in post-splenectomy patients.