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SPLENOSIS AS A DIAGNOSTIC DILEMMA – A case report
SPLENOZA KAO DIJAGNOSTIČKA DILEMA - Prikaz slučaja

Authors

 

Nataša Rakonjac, Vladimir Čotrić, Aleksandar Mandarić, Aleksandar Stanojević
Clinical Hospital Centre Zemun, Belgrade


 

• The paper was received on 01.06.2016. / Accepted on 10.06.2016.

 

Correspodernce to:
Nataša Rakonjac, dr
Clinical Hospital Centre Zemun, Belgrade
Tel.  011 3772629, 0113192204
Mob.  064 1950350
E mail:  natasarakonjac@yahoo.com

 

Abstract

 

Splenosis is a benign condition caused by autotransplantation of splenic tissues after splenic trauma or surgery. It is usually diagnosed accidentally. However, occasionally splenosis is a significant diagnostic dilemma, especially when this condition is presents as a significant large lymphatic nodules or metastatic malignant disease on abdominal imaging. This is the case report of a 41-year-old man, who underwent post-traumatic splenectomy following blunt trauma 10 years ago. The patient complaining of low back pain, at the same time laboratory tests were normal. Abdominal ultrasound revealed no spleen and enlarged lymph nodes in the left hemiabdomen. In addition, the CT scan shows rounded nodules, which have expected density of the spleen.The diagnosis was confirmed with Technetium-99m (Tc-99m)  sulfur coloid scintigraphy. Splenosis should be considered when a differential diagnosis of tumor-like lesions disclosed on abdominal imaging occurs in a patient with a splenic injury in the past.

 

 

Key words

splenosis, splenic injury, splenic-like masses, peritoneal nodule

 

 

References

 

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PDF Rakonjac N. et al • MD-Medical Data 2016;8(2) 129-131

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