Robotically assisted laparoscopic management of pelvic splenosis

Robotically assisted laparoscopy is a superior technique for the management of abdominopelvic splenosis, which is an often unsuspected cause of pelvic pain. A 25-year-old female with a distant history of traumatic splenic rupture and splenectomy was diagnosed with splenosis at the time of laparoscopy for vague abdominopelvic pain. She was transferred to our service for evaluation and definitive surgical management. We report the use of robotically enhanced laparoscopy for the excision of the splenic tissue. Splenosis is a potential cause of pelvic pain in a patient with a history of splenic injury. Robotically assisted laparoscopy provides the manual dexterity and the enhanced field of view necessary for the meticulous nature of this surgery.