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Pelvic splenosis-a very unusual location
Raquel Lameiras1, António P Matos1, Carlos Luz2
1Department of Radiology, Hospital Garcia de Orta, Almada, Portugal.
BJR Case Reports
|October 27, 2018
Summary
This case report highlights pelvic splenosis, a rare condition of splenic tissue in the pelvis. Magnetic resonance imaging (MRI) is crucial for diagnosing this benign condition, showing characteristic enhancement patterns.
Area of Science:
- Radiology
- Pathology
Background:
- Splenosis is a rare, benign condition resulting from splenic tissue auto-transplantation after spleen rupture.
- It can occur after traumatic or iatrogenic splenic injury, leading to ectopic splenic implants.
Observation:
- A 54-year-old female presented with chronic pelvic pain and vaginal bleeding.
- Imaging was performed to investigate the cause of her symptoms.
Findings:
- Pelvic splenosis was diagnosed based on characteristic imaging findings.
- Magnetic resonance imaging (MRI) demonstrated implants with signal characteristics and enhancement patterns similar to normal splenic tissue.
- Serpiginous enhancement on the arterial phase of MRI was a key diagnostic feature.
Implications:
- This case underscores the importance of considering splenosis in the differential diagnosis of pelvic masses and pain.
- MRI is a valuable tool for the non-invasive identification of splenosis.
- Accurate diagnosis can prevent unnecessary surgical intervention for this benign condition.
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