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Updated: Jun 24, 2026
08:34
Robot-assisted Partial Splenectomy
Published on: January 2, 2026
Pelvic splenosis--a gynaecological challenge.
Vaknin Zvi1, Pansky Moti, Sonia Mendlovic
1Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin, Israel.
Reproductive Biomedicine Online
|March 21, 2009
Summary
Pelvic splenosis, a rare condition of spleen autotransplantation after trauma, can mimic gynecological issues. This case highlights its recognition during laparoscopy for suspected ovarian torsion, resolving abdominal pain.
Area of Science:
- Reproductive Medicine
- Surgical Pathology
- Abdominal Imaging
Background:
- Pelvic splenosis is spleen autotransplantation following splenic trauma, often presenting atypically.
- It can mimic various gynecological conditions, leading to diagnostic challenges.
- Previous splenic surgery, like partial splenectomy, is a key risk factor.
Observation:
- A 39-year-old woman presented with abdominal pain, initially suspected as corpus luteus torsion.
- Diagnostic laparoscopy was performed to evaluate the suspected gynecological emergency.
- Disseminated pelvic splenosis was incidentally discovered during the procedure.
Findings:
- Laparoscopy ruled out ovarian torsion, identifying pelvic splenosis as the cause of symptoms.
- The patient had a history of childhood partial splenectomy due to a road accident.
- Post-laparoscopy, the patient's abdominal pain resolved, confirming splenosis as the source.
Implications:
- This case underscores the importance of considering pelvic splenosis in women with abdominal pain and a history of splenic trauma.
- Awareness of splenosis aids in differentiating it from gynecological pathologies, preventing unnecessary interventions.
- Accurate diagnosis and recognition of splenosis can lead to effective symptom management and improved patient outcomes.
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