Related Experiment Video
Updated: Jul 16, 2026
04:00
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Splenosis in the abdominal wall subcutis].
L Boudová1, D V Kazakov, M Zahálka
1Siklův patologicko-anatomický ústav Fakultní nemocnice a Lékarské fakulty Univerzity Karlovy v Plzni. boudova@medima.cz
Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|February 28, 2007
Summary
A rare case of subcutaneous splenosis, an ectopic splenic tissue, was found in the abdominal wall of a young man. This condition mimicked a tumor or hernia, highlighting the importance of histological diagnosis for splenosis.
Area of Science:
- Surgical pathology
- Abdominal imaging
- Histopathology
Background:
- Splenosis is a rare condition involving autotransplantation of splenic tissue, often following trauma or surgery.
- Subcutaneous splenosis in the abdominal wall is exceptionally uncommon, presenting diagnostic challenges.
Observation:
- A 23-year-old man with a mental handicap presented with a large, well-demarcated subcutaneous mass in the left inguinal region.
- The mass, measuring 8x7x5 cm, was located above a scar from prior hernia surgery and clinically resembled a hernia or tumor.
- A detailed patient history was unobtainable due to the patient's condition.
Findings:
- Histological examination confirmed the diagnosis of subcutaneous splenosis.
- The case highlights the varied clinical presentations and potential diagnostic difficulties of splenosis in unusual locations.
Implications:
- This case underscores the necessity of considering splenosis in the differential diagnosis of abdominal wall masses, particularly in patients with surgical history.
- Accurate histological diagnosis is crucial for appropriate management and to differentiate splenosis from neoplastic or other conditions.
- Understanding the diverse localizations of splenosis aids clinicians in recognizing this rare entity.
Related Concept Videos
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:21Muscles of the Abdomen
The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
01:23Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
01:15Development of the Lymphatic System
The development of lymphatic tissues and vessels in embryonic life begins around the fifth week. These structures originate from the mesoderm layer, with lymph sacs emerging from developing veins.
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
01:19Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...