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[Tumor in the minor pelvis--ectopic spleen. Case report]
A Adamski1, P Fornal, W Zrodowski
1Oddziału Ginekologiczno-Połozniczego Szpitala ZOZ, Kościerzynie.
Ginekologia Polska
|August 1, 1997
Summary
An 18-year-old female was diagnosed with an ectopic spleen located in her small pelvis. This rare condition was identified through ultrasound, scintigraphy, and CT scans, mimicking a pelvic tumor.
Area of Science:
- Radiology
- Abdominal Imaging
- Pediatric Radiology
Background:
- Ectopic spleen is a rare congenital anomaly where the spleen is found outside its normal anatomical location in the left upper quadrant.
- Pelvic ectopic spleen is an extremely rare variant, often asymptomatic and incidentally discovered.
- Differential diagnosis for pelvic masses in young females typically includes gynecological and oncological conditions.
Observation:
- An asymptomatic 18-year-old female presented with suspected right-sided small pelvis tumor.
- Diagnostic imaging, including ultrasound, scintigraphy, and computed tomography (CT), was performed.
- Imaging revealed a spleen located abnormally within the small pelvis.
Findings:
- The diagnostic workup confirmed the presence of an ectopic spleen in the small pelvis.
- The spleen's location mimicked a solid pelvic mass, highlighting the importance of comprehensive imaging evaluation.
- No other congenital anomalies were reported in this case.
Implications:
- This case underscores the importance of considering rare diagnoses like ectopic spleen in the differential of pelvic masses, particularly in asymptomatic patients.
- Accurate diagnosis through advanced imaging techniques prevents unnecessary surgical interventions for presumed tumors.
- Understanding the imaging characteristics of ectopic spleen is crucial for radiologists and clinicians managing pelvic abnormalities.