Peritoneale Splenose 26 Jahre nach traumatischer Milzruptur - seltene Differenzialdiagnose eines submukösen Magentumors - Fallbericht und Literaturübersicht

Autor: Benjamin Garlipp, Hans Lippert, Michael Zeh, Doerthe Kuester, H. Scheidbach
Rok vydání: 2011
Předmět:
Zdroj: Zeitschrift für Gastroenterologie. 49:344-349
ISSN: 1439-7803
0044-2771
Popis: Differential diagnoses of subepithelial gastric masses include benign (leiomyoma, lipoma, haemangioma, lymphangioma, neurogenic tumours, glomus tumour) and malignant (leiomyosarcoma, gastric Kaposi's sarcoma, metastases) neoplastic lesions, gastrointestinal stromal tumours (GIST) and lesions of non-neoplastic origin (heterotopic pancreatic tissue, intramural pseudocysts, intramural haematoma). Occasionally, however, suspected gastric wall tumours are caused by extragastral lesions that are not always easily distinguished from genuine gastric wall lesions by endoscopy or radiological imaging. We report the case of a 77-year-old patient undergoing laparoscopy for suspected gastric GIST in our institution in whom splenectomy had been performed 26 years prior to presentation due to traumatic splenic rupture. The tumour revealed to be ectopic splenic tissue located at the parietal peritoneum of the ventral abdominal wall, thereby fulfilling the definition of splenosis. Epidemiology, pathogenesis, diagnostics and therapy of splenosis are discussed in the context of a review of the relevant literature.
Databáze: OpenAIRE