CASE REPORT
Splenosis mimicking metastatic abdominal and pelvic tumours in a 12-year-old female patient
 
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1
Department of Paediatric Haematology and Oncology, Medical University of Silesia in Katowice, Zabrze, Poland
 
2
Department of Children’s Developmental Defects Surgery and Traumatology, Medical University of Silesia in Katowice, Zabrze, Poland
 
3
Department of Pathology, Medical University of Warsaw, Warsaw, Poland
 
 
Submission date: 2022-11-14
 
 
Final revision date: 2022-12-21
 
 
Acceptance date: 2022-12-21
 
 
Publication date: 2023-02-16
 
 
Corresponding author
Anna Olejarz
Anna Olejarz, Department of Paediatric Haematology and Oncology, Medical University of Silesia in Katowice, Zabrze, Poland
 
 
Pediatr Pol 2023;98(1):70-73
 
KEYWORDS
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ABSTRACT
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.
 
2.
Fleming CR, Dickson ER, Harrison EG. Splenosis: autotransplantation of splenic tissue. Am J Med 1976; 61: 414-419.
 
3.
Short NJ, Hayes TG, Bhargava P. Intra-abdominal splenosis mimicking metastatic cancer. Am J Med Sci 2011; 341: 246-249.
 
4.
Priola AM, Priola SM. Early pancreatic splenosis presented 2 years after splenectomy. Clin Imaging 2013; 37: 780-782.
 
5.
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.
 
6.
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.
 
7.
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.
 
8.
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.
 
9.
Sato M, Motohiro T, Seto S, Kogire M, Takada K, Hamada Y. A case of splenosis after laparoscopic splenectomy. Pediatr Surg Int 2007; 23: 1019-1021.
 
10.
Trimble C, Eason FJ. A complication of splenosis. J Trauma 1972; 12: 358-361.
 
11.
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.
 
12.
Kalburgi S, Markowsky A. Case 3: abdominal pain and chronic constipation in a 14-year-old girl. Pediatr Rev 2015; 36: 373-374.
 
13.
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.
 
14.
Mathurin J, Lallemand D. Splenosis simulating an abdominal lymphoma. Pediatr Radiol 1990; 21: 69-70.
 
15.
Kravarusic D, Feigin E, Freud E. Unique case of intramural colonic splenosis. J Pediatr Surg 2006; 41: e15-17.
 
16.
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.
 
17.
Al Dandan O, Hassan A, Alsaif HS, et al. Splenosis of the mesoappendix with acute appendicitis: a case report. Am J Case Rep 2020; 21: e921685.
 
18.
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.
 
19.
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.
 
20.
Xuan Z, Chen J, Song P, et al. Management of intrahepatic splenosis:a case report and review of the literature. World J Surg Oncol 2018; 16: 119.
 
21.
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.
 
22.
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.
 
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