Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation.
| Autor: | Raab S; Department of General and Visceral Surgery, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria., Hagleitner G; Central Radiology Institute, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria., Motz R; Institute of Pathology and Molecular Pathology, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria., Fellner FA; Central Radiology Institute, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria.; Medical Faculty of the Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany., Shamiyeh A; Department of General and Visceral Surgery, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria. |
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| Jazyk: | angličtina |
| Zdroj: | Radiology case reports [Radiol Case Rep] 2021 Apr 18; Vol. 16 (6), pp. 1543-1547. Date of Electronic Publication: 2021 Apr 18 (Print Publication: 2021). |
| DOI: | 10.1016/j.radcr.2021.03.055 |
| Abstrakt: | Splenosis is a benign acquired condition, which appears after rupture of the spleen and heterotopic auto-transplantation. Mostly found as an incidental finding on cross-sectional imaging, definitive diagnosis is frequently made histologically after resection or tissue sampling. We report a case of a 36-year-old male patient who presented with increased susceptibility to infections, chronic fatigue, and a history of traumatic splenic rupture. Cross-sectional imaging showed perirectal formations within the mesorectal fascia, and extraperitoneal splenosis was suspected. Due to the radiologically unclear entity of the masses, diagnostic laparoscopy with tissue sampling was performed. Intraoperatively the masses turned out to be intraperitoneal. Histological workup showed splenic tissue, consistent with intraperitoneal splenosis after splenic rupture. In this article we want to discuss important imaging findings and their differentials, as well as clinical implications for this rare entity. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
| Databáze: | MEDLINE |
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