Coincidental finding of pelvic splenosis during gynecological surgery
Authors:
M. Dibonová; Martin Němec
Authors place of work:
Gynekologicko-porodní oddělení Nemocnice, Frýdek-Místek, primář MUDr. M. Němec
Published in the journal:
Ceska Gynekol 2020; 85(3): 193-196
Category:
Case Report
Summary
Objective: To describe a case of coincidental finding of splenosis during gynecological laparoscopic surgery.
Design: Case report. Setting: Department of gynecology and obstetrics, Hospital of Frýdek-Místek.
Case report: We describe the case of coincidental perioperative finding of pelvic tumorous mass that was later histologicaly verified as accsessory spleen or splenosis.
Conclusion: Ectopic spleen is mostly random finding with no symptoms observed. Rarely it can cause pelvic pain or mimick adnexal malignity or endometriosis. It is neccesery to keep this rare diagnosis in mind, mainly at patients with splenic trauma or splenectomy in their medical history to preserve immunological function of this splenic tissue.
Keywords:
accesory spleen – splenosis – Pelvis
Zdroje
1. Azar, GB., Awwad, JT., Mufarrij, IK. Accessory spleen presenting as adnexal mass. Acta Obstet Gynecol Scand, 1993, p. 587–588. doi: 10.3109/00016349309058171.
2. Bona, R., Mentzer, WC., Tirnauer, JS. Evaluation of splenomegaly and other splenic disorders in adults. UpToDate, 2019, 4.
3. d‘Halluin, G., Menard, J., Dessard, P., et al. Torsion of the accessory spleen: An atypical etiology for acute abdomen. Gynecol Obstet Fertil, 2001, 29:,p. 821–823.
4. Feng, Y., Shi, Y., Wang, B., et al. Multiple pelvic accessory spleen: Rare case report with review of literature. Exp Ther Med, 2018, 15(4), p. 4001–4004. doi:10.3892/etm.2018.5903.
5. Fremont, RD., Rice, TW. Splenosis: a review. South Med J, 2007, 100(6), p. 589–593. doi:10.1097/SMJ.0b013e318038d1f8.
6. Halpert, B., Gyorkey, F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol, 1959, 32, p. 165–168. doi: 10.1093/ajcp/32.2.165.
7. Kim, SH., Lee, JM., Han, JK., et al. Intrapancreatic accessory spleen: finding on MR imaging, CT, US and scintigraphy, and the pathology analysis. Korean J Radiol, 2008, 9(2), p. 162–174. doi: 10.3348/kjr.2008.9.2.162.
8. Lai, T., Meng, C. Silent pelvic splenosis: Case report. Int J Surg Case Rep, 2015, 13, p. 129–130. doi:10.1016/j.ijscr.2014.10.100.
9. Maung, AA., Kaplan LJ., Bulger, EM., et al. Surgical management of splenic injury in the adult trauma patient. UpToDate, Aug 20, 2019.
10. Taskin, MI., Baser, BG., Adali, E., et al. Accessory spleen in the pelvis: A case report. Int J Surg Case Rep, 2015, 12, p. 23–25. doi:10.1016/j.ijscr.2015.05.009.
11. Tendler, R., Farah, RK., Kais, M., et al. Symptomatic pelvic accessory spleen in a female adolescent: Case report. J Clin Ultrasound, 2017, 45, p. 600–602. doi:10.1002/jcu.22448.
12. Watson, WJ., Sundwall, DA., Benson, WL. Splenosis mimicking endometriosis. Obstet Gynecol, 1982, 59(6 Suppl.), p. 51S–53S.
13. Zhou, JS., Chen, X., Zhu, T., et al. Pelvic accessory spleen caused dysmenorrhea. Taiwan J Obstet Gynecol, 2015, 54(4), p. 445–446. doi:10.1016/j.tjog.2014.09.011.
Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Czech Gynaecology
2020 Číslo 3
Najčítanejšie v tomto čísle
- Native IVF cycle at woman in 46-age with clinical pregnancy
- Prolongated pregnancy: unusual case
- New estrogen-free oral hormonal contraceptive (Estrogene free ill-EFP)
- The role of neutrophils in preeclampsia