[Splenosis simulating a renal mass]

Autor: Daniel, Pérez Fentes, Gerardo, Pazos González, Miguel, Blanco Parra, Virginia, Pubul Núñez, Valentín, Toucedo Caamaño, Ana, Puñal Pereira, Serafín, Novás Castro, Pedro, Lamas Cedrón, Manuel, Villar Núñez
Rok vydání: 2009
Předmět:
Zdroj: Archivos espanoles de urologia. 62(5)
ISSN: 0004-0614
Popis: To report a case of splenosis and to review its diagnosis and treatment in the related literature.We report the case of an asymptomatic 49-year-old man with splenectomy performed when he was 22. Lumbo-sacral MRI showed a left perirenal mass probably with renal origin.CT scan ruled out the renal origin. Due to previous splenectomy, splenosis was suspected. 99mTc-labeled heat-damaged erythrocytes scan confirmed the diagnosis. No treatment was applied.Clinicians should be aware that unknown origin masses, mainly in the peritoneal cavity, with a history of previous splenic trauma or splenectomy, might represent splenosis. A non-invasive diagnosis can be achieved with 99mTc-sulphur colloid scan, 99mTc-labeled heat-damaged erythrocytes or ferrumoxide-enhanced MRI, thus avoiding unnecessary surgical explorations.
Databáze: OpenAIRE