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Updated: Mar 22, 2026
10:32
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
17.1K
[Big surprise in the lesser pelvis].
J Hartinger1, E Maurer2, E M Walthers3
1Klinik für Urologie und Kinderurologie, Universitätsklinikum Gießen und Marburg, Baldingerstraße, Marburg, Deutschland. Jeremias.Hartinger@med.uni-marburg.de.
Der Urologe. Ausg. A
|April 30, 2016
Summary
A young man had asymptomatic microhematuria, which led to the discovery of a secondary pelvic spleen, also known as a lien bipartitus. This rare condition was confirmed through imaging and surgical examination.
Area of Science:
- Urology
- Radiology
- Pathology
Background:
- Microhematuria is a common urological finding that can indicate various underlying conditions.
- Intraperitoneal lesions require thorough investigation to determine their nature and clinical significance.
Observation:
- A 17-year-old male presented with asymptomatic microscopic hematuria.
- Imaging studies (ultrasound and CT) revealed an intraperitoneal mass superior to the bladder.
- The lesion's origin and nature were initially undetermined.
Findings:
- Surgical exploration and subsequent histological examination confirmed the mass as a secondary pelvic spleen.
- The condition was identified as a rare congenital anomaly, lien bipartitus.
Implications:
- This case highlights the importance of comprehensive diagnostic workup for seemingly incidental findings like microhematuria.
- Lien bipartitus, though rare, should be considered in the differential diagnosis of pelvic masses.
- Accurate diagnosis is crucial for appropriate patient management and to rule out other pathologies.
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