Splenosis is a heterotopic autotransplantation of splenic tissue after rupture of the splenic capsule caused by injury or during elective splenectomy in the management of haematological diseases. Splenosis might cause nonspecific abdominal symptoms but is usually asymptomatic, and it is diagnosed accidentally as an abdominal tumour. It is rarely diagnosed in the paediatric population. We describe a 12-year-old female patient with hereditary spherocytosis admitted to the hospital 3 years after elective splenectomy and cholecystectomy. In medical imaging abdominal and pelvic tumours together with enlarged lymph nodes were found. During laparoscopic surgery many nodules were found with morphology similar to splenic tissue in the omentum, on the surface of small intestine, colon and peritoneum. Results of histopathological examination confirmed splenosis. Splenosis should be considered in differential diagnosis of abdominal tumours in paediatric patients with a history of elective splenectomy or spleen injury.
REFERENCES(22)
1.
Pumberger W, Wiesbauer P, Leitha T. Splenosis mimicking tumor recurrence in renal cell carcinoma: detection on selective spleen scintigraphy. J Pediatr Surg 2001; 36: 1089-1091.
Livingston CD, Levine BA, Lecklitner ML, Sirinek KR. Incidence and function of residual splenic tissue following splenectomy for trauma in adults. Arch Surg 1983; 118: 617-620.
Gunes I, Yilmazlar T, Sarikaya I, Akbunar T, Irgil C. Scintigraphic detection of splenosis: superiority of tomographic selective spleen scintigraphy. Clin Radiol 1994; 49: 115-117.
Lüdtke FE, Mack SC, Schuff-Werner P, Voth E. Splenic function after splenectomy for trauma. Role of autotransplantation and splenosis. Acta Chir Scand 1989; 155: 533-539.
Pearson HA, Johnston D, Smith KA, Touloukian RJ. The born-again spleen. Return of splenic function after splenectomy for trauma. N Engl J Med 1978; 298: 1389-1392.
Zouari M, Louati H, Houidi S, Ben Dhaou M, Jallouli M, Mhiri R. Abdominal splenosis: an unusual cause of bowel obstruction in a 7-year-old child. Int J Pediatr 2018; 6: 7569-7573.
Lansdale N, Marven S, Welch J, Vora A, Sprigg A. Intra-abdominal splenosis following laparoscopic splenectomy causing recurrence in a child with chronic immune thrombocytopenic purpura. J Laparoendosc Adv Surg Tech A 2007; 17: 387-390.
El-Helou E, Alimoradi M, Sabra H, Ghoussoub Y, Zaarour M, Abousleiman G. Small bowel obstruction due to splenosis 30 years after splenectomy. Ann R Coll Surg Engl 2020; 102: e1-3.
Liu Y, Ji B, Wang G, Wang Y. Abdominal multiple splenosis mimicking liver and colon tumors: a case report and review of the literature. Int J Med Sci 2012; 9: 174-177.
Liu C, Liu J, Wang F. Intrahepatic splenosis mimicking liver cancer: report of a case and review of literature. Int J Clin Exp Pathol 2015; 8: 1031-1035.
Guzman Rojas P, Parikh J, Mahne A, Vishnubhotla P, Oharriz JJ. Where is my spleen? – a case of splenosis diagnosed years later after splenectomy. Cureus 2018; 10: e2618.
Ake AC, Menzli A, Lecomte JC, Mampassi-Makaya A, Valleix D. Peritoneal splenosis mimicking peritoneal carcinomatosis: a case report. Diagn Interv Imaging 2012; 93: 890-893.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.