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[Splenosis after splenic rupture: a disease to be recognized]
J E Clotteau1, M Prémont, K Aouad
1Hôpital Henry-Dunant, Paris.
Journal De Chirurgie
|March 1, 1992
Summary
Peritoneal splenosis, the presence of splenic tissue in the abdomen, is a rare condition. This case highlights the importance of recognizing this rare autograft of splenic tissue, especially with increasing conservative spleen injury treatments.
Area of Science:
- Abdominal Surgery
- Gastroenterology
- Pathology
Background:
- Peritoneal splenosis is a rare condition involving ectopic splenic tissue within the abdominal cavity.
- It often occurs secondary to splenectomy, particularly following trauma.
- Conservative management of spleen injuries may lead to an increased incidence of this condition.
Observation:
- A 17-year-old female presented with dull abdominopelvic pain.
- She had a history of total splenectomy ten years prior due to trauma.
- Diagnosis was confirmed during surgical exploration.
Findings:
- The patient was diagnosed with peritoneal splenosis.
- This represents a rare autograft of splenic tissue.
- Literature review indicates approximately one hundred reported cases globally.
Implications:
- Awareness of peritoneal splenosis is crucial for clinicians, especially in patients with a history of splenectomy.
- Early diagnosis can prevent misdiagnosis of other abdominal conditions.
- Surgical removal of symptomatic nodules is the standard treatment.