Ectopic splenic tissues mimicking gastro-intestinal stromal tumour in a patient after splenectomy for a giant epithelial cyst of spleen: A case report.

Autor: Chung KM; Department of Surgery, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong Special Administrative Region., Lau HY; Department of Surgery Queen Elizabeth Hospital, Kowloon, Hong Kong Special Administrative Region., Lau WY; Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong Special Administrative Region. Electronic address: josephlau@cuhk.edu.hk.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2015; Vol. 14, pp. 13-5. Date of Electronic Publication: 2015 Jul 10.
DOI: 10.1016/j.ijscr.2015.06.030
Abstrakt: Introduction: Ectopic splenic tissues left after a previous splenectomy can masquerade as a gastro-intestinal stromal tumour (GIST).
Presentation of Case: Splenectomy was carried out for a 17-year-old girl with a giant epithelial cyst of spleen. Four years later, an upper endoscopy carried out for dyspepsia revealed two sub-mucosal lesions at the posterior wall of the gastric fundus. Computed tomography diagnosed a GIST. At operation, a dump-bell shaped extragastric mass was excised. Histology showed normal splenic tissues.
Discussion: Giant epithelial cyst of spleen is rare. It is even rarer for ectopic splenic tissues left after splenectomy to masquerade as a GIST.
Conclusion: Ectopic splenic tissues should be included as a differential diagnosis in a patient who has a history of splenectomy presenting with a sub-mucosal gastric tumour.
(Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE