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Splenosis


Presentation

  • We report a case of splenosis presenting as occult GI bleeding that was eventually treated with transarterial embolization.[ncbi.nlm.nih.gov]
  • However, splenosis can give rise to some complications including gastrointestinal hemorrhage as in the present case.[ncbi.nlm.nih.gov]
  • We present a case of 68-year old woman with intrathoracic splenosis. Patient presented with a 2-month history of a dry cough unresponsive to administered antibiotics and antimycotics.[ncbi.nlm.nih.gov]
  • The present case illustrates the dangers of the current widespread practice of inappropriate diagnostic imaging of patients with low-risk prostate cancer.[ncbi.nlm.nih.gov]
  • CASE PRESENTATION: We report a case of splenosis with colon and stomach invasion presenting as lower gastrointestinal bleeding and mimicking colonic gastrointestinal stromal tumour (GIST).[ncbi.nlm.nih.gov]
Asymptomatic
  • Most cases are asymptomatic, so further treatment is rarely required; all cases are managed conservatively.[ncbi.nlm.nih.gov]
  • Microhistology prevents unnecessary surgeries, and reassures asymptomatic patients with hypoechoic, homogeneous, and well circumscribed pancreatic nodules.[ncbi.nlm.nih.gov]
  • Splenosis is a benign condition usually found incidentally and is usually asymptomatic.[ncbi.nlm.nih.gov]
  • Patients remain asymptomatic, and surgical intervention is not indicated in the majority of cases.[ncbi.nlm.nih.gov]
  • This entity is asymptomatic in a vast majority of patients. Occult gastrointestinal (GI) bleeding is a relatively rare presentation of splenosis.[ncbi.nlm.nih.gov]
Recurrent Urinary Tract Infection
  • We report the case of a 54-year-old woman with recurrent urinary tract infection who underwent a Ga-pentixafor PET/CT for detection of occult infectious foci.[ncbi.nlm.nih.gov]
Aspiration
  • OBJECTIVE: To describe the role of the endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of pancreatic nodules suspicious for pancreatic splenosis.[ncbi.nlm.nih.gov]
  • The patient underwent two ultrasound guided fine-needle aspiration biopsies. Cytologic diagnosis was inconclusive. Histology of laparoscopically obtained tissue disclosed presence of normal splenic tissue and led to diagnosis of hepatic splenosis.[dlib.si]
Pleuritic Pain
  • Thoracic splenosis is a rare condition and should be considered in any patient with a left-sided thoracic mass and a distant history of severe thoracoabdominal injury. 1 A 61-year-old man was admitted to the hospital with pleuritic pain over the left[nejm.org]
  • While abdominal splenosis can make gastric symptoms such as abdominal pain or bowel obstruction, thoracic splenosis is commonly asymptomatic, although pleuritic pain or hemoptysis may present.[e-sciencecentral.org]
Abdominal Mass
  • Multiphasic contrast-enhanced CT confirmed this result but showed two abdominal masses (diameter of 9 cm and 7 cm, respectively) among bowel loops, strongly suspicious for cancer.[ncbi.nlm.nih.gov]
  • This paper describes the case of a 40-year-old man referred from a local clinic for further evaluation of an incidental finding of left abdominal masses by ultrasonogram suspecting neoplasm, but was eventually confirmed as PRS by obtaining a history of[ncbi.nlm.nih.gov]
  • Splenosis presenting as multiple intra-abdominal masses mimicking malignancy.Kok J, Lin M, Lin P, Ngu C, Sam S, Loh C, Kociuba K. ANZ J Surg. 2008 May;78(5):406-7. This case was compiled by Dr. Joji Varghese, MEDVAMC[nuclearmd.com]
  • Pelvic splenosis mimicking endometriosis causing low abdominal mass and pain. Human Reproduction 1998; 13 (6) : 1683-85. 5.Higgins RV, Crain JL. Laparoscopic removal of pelvic splenosis. Jour of Reproductive Med 1994; 40 (2) : 140-42.[bhj.org.in]
  • Pelvic splenosis mimicking endometriosis, causing low abdominal mass and pain. Hum Reprod. 1998; 13:1683-5.[md-medicaldata.com]
Constipation
  • We present the use of Tc-99m sulphur colloid SPECT/CT in diagnosing a case of multiple abdominopelvic splenosis as the cause of new-onset tenesmus and constipation, which was initially thought to be due to colorectal malignancy, 47 years following the[ncbi.nlm.nih.gov]
  • A 41-year-old man had left upper quadrant abdominal pain, constipation, and melena. About 6 years previously, he received a single gunshot wound to the abdomen, which required partial gastrectomy and small bowel resection.[ncbi.nlm.nih.gov]
Pelvic Mass
  • The development of high frequency transvaginal scanning has facilitated the diagnosis of relatively small pelvic masses and the advancement of laparoscopic surgical techniques may increase the frequency of diagnosing splenosis.[bhj.org.in]
Chronic Abdominal Pain
  • A 31 years old man patient was admitted to our Institution because of upper chronic abdominal pain. Thirteen years before the recovery the patient was operated of splenectomy with laparotomic incision.[ncbi.nlm.nih.gov]
Dyschezia
  • A 40-year-old woman was referred to our department for severe dyspareunia and dyschezia. The gynecologic examination revealed a painfull nodularity on the posterior vaginal cul de sac.[ncbi.nlm.nih.gov]
Tachycardia
  • ., Tabriz, East Azerbaijan, Iran. rjrashid@hotmail.com Abstract We report a case of combined subcutaneous, intrathoracic, and abdominal splenosis who presented with attacks of flushing, tachycardia and vague abdominal pain.[ncbi.nlm.nih.gov]
Hepatic Mass
  • A 38-year-old male hepatitis B virus carrier, who had a motorcycle accident and splenectomy 14 years before the current incident, was hospitalized due to a hepatic mass.[ncbi.nlm.nih.gov]
  • Computerized Tomography and Magnetic Resonance demonstrated the presence of suspicious hepatic mass in the III segment. The mass has been radically excised with laparoscopic approach.[ncbi.nlm.nih.gov]
Low Back Pain
  • The physical examination of this patient complaining of epigastric and low back pain, except for postoperative abdominal scar, as well as laboratory tests were normal. Esophagogastroduodenoscopy showed chronic gastritis.[ncbi.nlm.nih.gov]
  • The patient complaining of low back pain, at the same time laboratory tests were normal. Abdominal ultrasound revealed no spleen and enlarged lymph nodes in the left hemiabdomen.[md-medicaldata.com]
Flushing
  • ., Tabriz, East Azerbaijan, Iran. rjrashid@hotmail.com Abstract We report a case of combined subcutaneous, intrathoracic, and abdominal splenosis who presented with attacks of flushing, tachycardia and vague abdominal pain.[ncbi.nlm.nih.gov]
Suggestibility
  • Some cases may be difficult to diagnose, especially if features suggesting TS are not recognized. This may lead to an extensive workup and unnecessary invasive diagnostic procedures including thoracotomy.[ncbi.nlm.nih.gov]
  • CONCLUSION: Radiologists can suggest or establish the correct diagnosis of splenosis in the appropriate clinical setting, particularly in less typical cases, to avert unnecessary tissue sampling.[ncbi.nlm.nih.gov]
  • The splenic tissue has the macroscopic appearance of endometriosis, and its position in the pelvis also may suggest this diagnosis.[ncbi.nlm.nih.gov]
  • The increased prevalence of abdominal trauma due to road accidents and the growing armamentarium of available imaging modalities suggest that abdominal splenosis may be expected more often than ever.[ncbi.nlm.nih.gov]
  • The radiological imaging was suggestive of the thoracic splenosis, After surgery, the diagnosis of thoracic splenosis was confirmed by pathological diagnosis.[ncbi.nlm.nih.gov]
Pelvic Pain
  • Splenosis : a cause of pelvic pain. Am J Obstet Gynecol 1982; 143 : 969-70. 2.Belhassen A, Aubineau JM, Bauverne B, Gautier P. Splenosis : an unrecognised cause of pelvic pain.[bhj.org.in]
  • The diagnosis of splenosis in a woman complaining of pelvic pain may present diagnostic difficulties. The splenic tissue has the macroscopic appearance of endometriosis, and its position in the pelvis also may suggest this diagnosis.[ncbi.nlm.nih.gov]
  • Endometriosis nodules are looked for in a woman with chronic pelvic pain. They can occur anywhere in the abdominopelvic cavity but are usually found in the peritoneum and pelvic organs and are rarely as large [ 3 ].[em-consulte.com]
Dyspareunia
  • In this patient, the splenosis was removed by laparoscopy, with no postoperative dyspareunia or dyschesia.[ncbi.nlm.nih.gov]

Workup

  • In the workup of pulmonary nodules in patients with a history of trauma, splenosis should be a consideration.[ncbi.nlm.nih.gov]
  • The lesions appeared as multiple, well-circumscribed, small, round, homogenously solid masses of different sizes at the retrovesical and pelvic region detected during the imaging workup of Behçet disease. Copyright 2011 Wiley Periodicals, Inc.[ncbi.nlm.nih.gov]
  • Splenosis should be considered as a differential diagnosis by the undertaken workup of left pulmonary nodules or masses in patients with a history of trauma.[ncbi.nlm.nih.gov]
  • This may lead to an extensive workup and unnecessary invasive diagnostic procedures including thoracotomy.[ncbi.nlm.nih.gov]
  • In the workup of thoracic nodules TS should be considered in patients with a history of trauma and spleen injury. Thoracic splenosis, Spleen, Mediastinal nodules, Thoracoabdominal trauma.[ncbi.nlm.nih.gov]
Howell-Jolly Bodies
  • The diagnosis of intrathoracic ectopic spleen was suspected because of the history of spleen trauma with diaphragm rupture and the absence of Howell-Jolly bodies.[ncbi.nlm.nih.gov]
  • - Jolly bodies on blood smear of patient with history of splenectomy and by scintigraphy using heat damaged Tc-99 labelled autologous red blood cells.[bhj.org.in]

Treatment

  • By means of this case report and 31 literature reviews, potential treatment modalities concerning clinical diagnostics, patient's management could be discussed.The report presents the case of a 33-year-old man with a liver lesion.[ncbi.nlm.nih.gov]
  • Imaging techniques and features that might contribute to the diagnosis and may avoid invasive treatment are also discussed.[ncbi.nlm.nih.gov]
  • Thoracic splenosis may occur after the injury to spleen and surgical treatment may not be the preferred method for asymptomatic or less symptomatic thoracic splenosis.[ncbi.nlm.nih.gov]
  • The need for therapy is controversial, and treatment is suggested only in symptomatic cases, primarily those related to pelvic or abdominal implants.[ncbi.nlm.nih.gov]
  • .), treatment and invasive procedures while the diagnosis of splenosis only relies upon imaging studies associated with functionnal study of the uptake of particles or cells.[ncbi.nlm.nih.gov]

Prognosis

  • Treatment and prognosis Management is expectant in almost all cases where surgery is considered only indicated in occasional symptomatic patients and in situations where diagnosis is doubtful and when it is not possible to exclude malignancy.[radiopaedia.org]

Etiology

  • Article analyzes current data on macroamylasemia and splenosis, their etiology and diagnostics in particular.[ncbi.nlm.nih.gov]

Epidemiology

  • Neurology and Neurosurgery Czech and Slovak Ophthalmology Czech and Slovak Psychiatry Czech Geriatric Review Czech Gynaecology Czech Rheumatology Czech Dental Journal Czech Urology Czech-Slovak Dermatology Czecho-Slovak Pathology Czech-Slovak Pediatrics Epidemiology[prolekare.cz]
Sex distribution
Age distribution

Pathophysiology

  • The imaging features and pathophysiology of hepatic splenosis are presented. Owing to the low rates of metastatic disease, the current guidelines do not recommend diagnostic imaging for low-risk prostate cancer.[ncbi.nlm.nih.gov]
  • Author information 1 Division of Radiology, Department of Pathophysiological and Therapeutic Science, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan. ishibashi-ttr@umin.ac.jp Abstract Splenosis represents the[ncbi.nlm.nih.gov]

Prevention

  • We report a case in which nuclear imaging was used to make the diagnosis of thoracic splenosis, thus preventing the need for invasive procedures and avoiding unnecessary patient apprehension.[ncbi.nlm.nih.gov]
  • […] especially owning to trauma, and were found mass in abdomen, clinicians must consider the existence of splenosis, and take some measures, such as scintigraphy with (99m) Tc labelled heat-denatured erythrocyte rather than biopsy, to diagnose it correctly to prevent[ncbi.nlm.nih.gov]
  • […] case of abdominal splenosis are stressed.The increased prevalence of abdominal trauma due to road accidents and the growing armamentarium of available imaging modalities suggest that abdominal splenosis may be expected more often than ever.In order to prevent[ncbi.nlm.nih.gov]
  • Microhistology prevents unnecessary surgeries, and reassures asymptomatic patients with hypoechoic, homogeneous, and well circumscribed pancreatic nodules.[ncbi.nlm.nih.gov]
  • Since 1981, we have specialized in treating dysfunction related to the spine and offer on and offsite spine school for prevention.[backclinicinc.com]

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