Abstract
The term splenosis applies to the autotransplanted splenic tissue resulting from seeding in the context of past splenic trauma or surgery. We report a 42-year-old man with a history of splenectomy observed for an incidentally found retrovesical mass thought to be an ectopic testicle. The abdominal laparotomy revealed multiple focuses of pelvic splenosis. As splenosis can be diagnosed through specific imaging studies one should always consider it in differential diagnosis of a mass discovered years after splenic surgery or trauma.
Highlights
Ectopic splenic tissue is a cause of incidentally found mass leading to diagnostic confusion
It can present as a congenital accessory spleen typically localized medially to the orthotropic spleen or as a mass detected several years after a splenic surgery or trauma
In this paper we discuss a case of an incidental retrovesical mass in a patient with an absent left testicle that lead us to think of an ectopic testicle
Summary
Ectopic splenic tissue is a cause of incidentally found mass leading to diagnostic confusion. It can present as a congenital accessory spleen typically localized medially to the orthotropic spleen or as a mass detected several years after a splenic surgery or trauma. Specific diagnostic tests can confirm diagnosis and avoid unnecessary surgery.
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