Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation

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...

Full description

Bibliographic Details
Main Authors: Sandra Raab, MD, Georg Hagleitner, MD, Reinhard Motz, MD, Franz A. Fellner, MD, Andreas Shamiyeh, MD
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321001928
_version_ 1818647402273308672
author Sandra Raab, MD
Georg Hagleitner, MD
Reinhard Motz, MD
Franz A. Fellner, MD
Andreas Shamiyeh, MD
author_facet Sandra Raab, MD
Georg Hagleitner, MD
Reinhard Motz, MD
Franz A. Fellner, MD
Andreas Shamiyeh, MD
author_sort Sandra Raab, MD
collection DOAJ
description 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.
first_indexed 2024-12-17T01:01:58Z
format Article
id doaj.art-f30aca450ed44322b1d89a34529c19b6
institution Directory Open Access Journal
issn 1930-0433
language English
last_indexed 2024-12-17T01:01:58Z
publishDate 2021-06-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj.art-f30aca450ed44322b1d89a34529c19b62022-12-21T22:09:25ZengElsevierRadiology Case Reports1930-04332021-06-0116615431547Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlationSandra Raab, MD0Georg Hagleitner, MD1Reinhard Motz, MD2Franz A. Fellner, MD3Andreas Shamiyeh, MD4Department of General and Visceral Surgery, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, Austria; Corresponding author:Central Radiology Institute, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, AustriaInstitute of Pathology and Molecular Pathology, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, AustriaCentral 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, GermanyDepartment of General and Visceral Surgery, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Linz, AustriaSplenosis 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.http://www.sciencedirect.com/science/article/pii/S1930043321001928Intraperitoneal SplenosisIncidentalomaSplenectomyTraumaMRILaparoscopy
spellingShingle Sandra Raab, MD
Georg Hagleitner, MD
Reinhard Motz, MD
Franz A. Fellner, MD
Andreas Shamiyeh, MD
Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
Radiology Case Reports
Intraperitoneal Splenosis
Incidentaloma
Splenectomy
Trauma
MRI
Laparoscopy
title Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
title_full Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
title_fullStr Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
title_full_unstemmed Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
title_short Perirectal intraperitoneal splenosis: A case report of MRI with laparoscopic correlation
title_sort perirectal intraperitoneal splenosis a case report of mri with laparoscopic correlation
topic Intraperitoneal Splenosis
Incidentaloma
Splenectomy
Trauma
MRI
Laparoscopy
url http://www.sciencedirect.com/science/article/pii/S1930043321001928
work_keys_str_mv AT sandraraabmd perirectalintraperitonealsplenosisacasereportofmriwithlaparoscopiccorrelation
AT georghagleitnermd perirectalintraperitonealsplenosisacasereportofmriwithlaparoscopiccorrelation
AT reinhardmotzmd perirectalintraperitonealsplenosisacasereportofmriwithlaparoscopiccorrelation
AT franzafellnermd perirectalintraperitonealsplenosisacasereportofmriwithlaparoscopiccorrelation
AT andreasshamiyehmd perirectalintraperitonealsplenosisacasereportofmriwithlaparoscopiccorrelation