Abstract
Splenosis is an uncommon benign condition resulting from heterotopic autotransplantation of splenic tissues onto exposed vascularised intra- and extraperitoneal surfaces following splenic trauma and surgeries. Splenosis may be mistaken for carcinomatosis upon standard imaging techniques. A 69-year-old female patient with a past medical history of hypertension and splenic trauma, underwent total esophagectomy with polar gastrectomy for adenocarcinoma of the gastric cardia. Macroscopic examination of the surgical specimen disclosed a tumour of the cardia measuring 5 cm in greatest diameter and several dark brown nodules of the greater omentum ranging in size between 2 mm and 12 mm. Histological examination of these nodules confirmed the diagnosis of peritoneal splenosis. The authors emphasize that in patients with a previous history of splenic trauma or surgery, clinicians must consider the existence of splenosis.
Highlights
Splenosis is the spontaneous auto-transplantation of splenic tissue after traumatic injury or splenectomy [1]
We report a new case of peritoneal splenosis that was incidentally diagnosed in a 69-year-old female patient
A 69-year-old woman with a past medical history of hypertension, traumatic rupture of the spleen and adenocarcinoma of the gastric cardia was referred to the surgery department for surgical treatment of the gastric tumour
Summary
Splenosis is the spontaneous auto-transplantation of splenic tissue after traumatic injury or splenectomy [1]. It usually occurs within the abdominal and pelvic cavity, involving visceral and parietal peritoneum. A 69-year-old woman with a past medical history of hypertension, traumatic rupture of the spleen and adenocarcinoma of the gastric cardia was referred to the surgery department for surgical treatment of the gastric tumour. Considering the past medical history of our patient, preoperative diagnosis of these nodules was either peritoneal splenosis or carcinomatosis. There were multiple dark brown nodules ranging in size between 2 mm and 12 mm (Figure 2). The multiple dark brown peritoneal nodules corresponded histologically to normal splenic tissue containing both red and white pulp structures (Figure 3). On postoperative day 1, the patient died due to hemorrhagic shock
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