Case Report

Tubal splenosis: unusual location of the spleen

Authors: Sema Baki (Obstetrics and Gynecology Department, Giresun Obstetrics-Gynecology and Pediatrics Training and Research Hospital, Giresun, Turkey) , Alper Basbug (Department of Obstetrics and Gynecology, The University of Düzce, Düzce, Turkey) , Burcu Yılmaz Hanege (Obstetrics and Gynecology Department, Giresun Obstetrics-Gynecology and Pediatrics Training and Research Hospital, Giresun, Turkey) , Nazan Özsan (Department of Pathology, Ege University, İzmir, Turkey)

  • Tubal splenosis: unusual location of the spleen

    Case Report

    Tubal splenosis: unusual location of the spleen

    Authors: , , ,

Abstract

İntroduction: Splenosis is defined as the autotransplantation of splenic tissue to abnormal locations after splenic injury. Heterotopic spleen can be found within the abdominal and pelvic cavities. We report a tubal splenosis case in a 48 year old woman who underwent splenectomy following a blunt trauma 41 years prior to presentation.

Case report: A 48 years old gravida 3, para 3, was admitted to our gynecology clinic for pelvic pain, menstrual irregularities and abnormal bleeding. The patient had a six months history of sonographically detected 40 x 20 mm pelvic mass. She also had a blunt trauma and splenectomy history from 41 years ago. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Intraoperative exploration revealed a 40 mm sized suspicious mass immediately adjacent to the right fallopian tube. The histopathologic examination of the specimen reported normal splenic tissue with polymorphous small lymphocytes, granulocytes, and frequent hemosiderin laden macrophages.

Discussion: Posttraumatic pelvic splenosis is a rare condition. Splenosis should be kept in mind as a differential diagnosis especially for patients with a history of posttraumatic splenectomy who are scheduled for pelvic mass surgery. Although most of the patients are diagnosed postoperatively, if preoperative diagnosis could be made, there is no medical indication for this normally functioning tissue to be resected.

Keywords: Splenosis, pelvic mass, tubal splenosis, pelvic pain

How to Cite:

Baki, S. & Basbug, A. & Hanege, B. Y. & Özsan, N., (2017) “Tubal splenosis: unusual location of the spleen”, Proceedings in Obstetrics and Gynecology 7(2), 1-4. doi: https://doi.org/10.17077/2154-4751.1356

Rights: Copyright © 2017 the authors

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Published on
01 Jul 2017
Peer Reviewed
License
CC BY 4.0