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Related Experiment Videos

Splenosis mimicking endometriosis

W J Watson, D A Sundwall, W L Benson

    Obstetrics and Gynecology
    |June 1, 1982
    PubMed
    Summary

    Splenosis, splenic tissue spread after spleen rupture, can be mistaken for endometriosis during surgery. Asymptomatic splenosis is often found incidentally and should generally not be removed.

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    Area of Science:

    • Surgical pathology
    • Abdominal imaging
    • Gynecologic surgery

    Background:

    • Splenosis results from splenic tissue autotransplantation after splenic trauma.
    • It can present as widespread implants throughout the peritoneal cavity.
    • Differential diagnosis is broad, including endometriosis, metastatic cancer, and hemangiomas.

    Observation:

    • A case is presented where splenosis mimicked endometriosis during laparotomy.
    • The literature on splenosis in gynecologic surgery is reviewed.
    • Splenic implants can be mistaken for other intra-abdominal pathologies.

    Findings:

    • Splenosis is often asymptomatic and can be found incidentally during gynecologic procedures.
    • It may partially compensate for the loss of splenic function.
    • Accurate diagnosis is crucial to avoid unnecessary surgical intervention.

    Implications:

    • Asymptomatic splenosis discovered during surgery should not be resected.
    • Recognition of splenosis prevents misdiagnosis and inappropriate treatment.
    • This finding is important for gynecologic surgeons managing patients with potential splenic trauma history.

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