[Abdominal splenosis: an often underdiagnosed entity].
Splenosis is defined as the heterotopic autotransplantation of splenic tissue because of a ruptured spleen due to trauma or surgery. It is a benign and incidental finding, although imaging tests may sometimes orient toward malignancy simulating renal tumors, abdominal lymphomas, endometriosis, among other. We report the case of a 42-year old male in whom a MRI was performed after a study due to abdominal pain. Multiple enlarged lymph nodes were observed in the abdomen, suggestive of lymphoproliferative disease. As an important background, splenectomy was carried out due to abdominal trauma at age 9. After several studies, it was decided to perform a (99m)Tc-labeled heat-damaged red blood cell scintigraphy that showed multiple pathological deposits distributed throughout the abdomen, and even the pelvis, being consistent with splenosis.
Vercher-Conejero
J L
JL
Servicio de Medicina Nuclear, Hospital Universitario La Fe, Valencia, Spain. jlvercher@hotmail.com
Bello-Arqués
P
P
Pelegrí-Martínez
L
L
Hervás-Benito
I
I
Loaiza-Góngora
J L
JL
Falgas-Lacueva
M
M
Ruiz-Llorca
C
C
Pérez-Velasco
R
R
Mateo-Navarro
A
A
D000007:Abdominal Injuries / Q000601:surgery; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001964:Bromhexine; D002779:Cholestasis / Q000175:diagnosis; D003937:Diagnosis, Differential; D004912:Erythrocytes; D006801:Humans; D033162:Incidental Findings; D008207:Lymphatic Metastasis; D008232:Lymphoproliferative Disorders / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D011859:Radiography; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013154:Spleen / Q000293:injuries / Q000601:surgery; D013156:Splenectomy; D017890:Splenosis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology / Q000473:pathology; D013667:Technetium; D013997:Time Factors
D019275:Radiopharmaceuticals; D013667:Technetium; D001964:Bromhexine