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Abdominal splenosis.

W J Pirozynski, C M Allan

    Canadian Medical Association Journal
    |July 20, 1974
    PubMed
    Summary
    This summary is machine-generated.

    Abdominal splenosis, the presence of splenic tissue outside the spleen, was incidentally discovered during surgery for appendicitis. This rare condition can occur years after a splenectomy (spleen removal).

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    Area of Science:

    • Surgical Pathology
    • Abdominal Imaging
    • Medical Case Reports

    Background:

    • Splenosis is a rare condition involving the autotransplantation of splenic tissue.
    • It can occur following splenic trauma or surgery, leading to ectopic splenic implants.
    • Abdominal splenosis is often asymptomatic and discovered incidentally.

    Purpose of the Study:

    • To report a case of incidental abdominal splenosis found during surgery for acute appendicitis.
    • To review similar cases of abdominal and intrathoracic splenosis in patients with prior splenectomy.
    • To highlight the diagnostic considerations for splenosis in patients with a history of splenectomy.

    Main Methods:

    • Case report of a 39-year-old male undergoing laparotomy for acute appendicitis.

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  • Review of literature for cases of abdominal and intrathoracic splenosis.
  • Analysis of clinical presentation and diagnostic findings in reviewed cases.

    • Main Results:

    • Incidental finding of abdominal splenosis during laparotomy.
    • The patient had a history of splenectomy nine years prior due to traumatic splenic rupture.
    • Literature review identified similar cases of ectopic splenic tissue in abdominal and thoracic cavities.

    Conclusions:

    • Abdominal splenosis can be an incidental finding years after splenectomy.
    • Ectopic splenic tissue should be considered in the differential diagnosis of abdominal masses in post-splenectomy patients.
    • Awareness of splenosis is crucial for accurate diagnosis and management, especially when patients present with unrelated surgical conditions.