Splenosis Masquerading as Endometriosis: A Rare Pelvic Post-Trauma Presentation.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Khaled Abdul Jawad, Kathryn Denny, Tijani S Osumah, Komal Arora, Sarah E Allen, Christopher J Esper
{"title":"Splenosis Masquerading as Endometriosis: A Rare Pelvic Post-Trauma Presentation.","authors":"Khaled Abdul Jawad, Kathryn Denny, Tijani S Osumah, Komal Arora, Sarah E Allen, Christopher J Esper","doi":"10.12659/AJCR.946307","DOIUrl":null,"url":null,"abstract":"<p><p>BACKGROUND Splenosis is the ectopic autotrasplantation of splenic tissue that can follow trauma to the spleen or splenectomy and can occur anywhere in the peritoneal cavity or extraperitoneally. Splenosis can present incidentally without symptoms or with various symptoms depending on size and location. We describe a case of pelvic splenosis mimicking endometriosis in presentation. CASE REPORT A 37-year-old woman presented with dyspareunia, dysmenorrhea, and infertility >10 years after a motor vehicle accident requiring splenectomy. Examination revealed suprapubic and uterine tenderness with no retrocervical tenderness or palpable nodularity. Imaging (ultrasound, computed tomography, and magnetic resonance) revealed multiple pelvic masses of unknown etiology concerning for endometriosis, malignancy, or splenosis. Diagnostic laparoscopy with surgical resection of the cul-de-sac masses was performed and pathology confirmed splenosis. The patient reported resolution of her complaints postoperatively, resulting in improved quality of life. CONCLUSIONS Although splenosis is a known condition that can occur after trauma, pelvic splenosis is less often described in the gynecologic literature, leading to diagnostic ambiguity with uterine and ovarian masses as well as endometriosis. We describe a case of splenosis presenting similarly to endometriosis with the aim to improve awareness and diagnostic accuracy of these confounding conditions.</p>","PeriodicalId":39064,"journal":{"name":"American Journal of Case Reports","volume":"26 ","pages":"e946307"},"PeriodicalIF":1.0000,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896003/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12659/AJCR.946307","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

BACKGROUND Splenosis is the ectopic autotrasplantation of splenic tissue that can follow trauma to the spleen or splenectomy and can occur anywhere in the peritoneal cavity or extraperitoneally. Splenosis can present incidentally without symptoms or with various symptoms depending on size and location. We describe a case of pelvic splenosis mimicking endometriosis in presentation. CASE REPORT A 37-year-old woman presented with dyspareunia, dysmenorrhea, and infertility >10 years after a motor vehicle accident requiring splenectomy. Examination revealed suprapubic and uterine tenderness with no retrocervical tenderness or palpable nodularity. Imaging (ultrasound, computed tomography, and magnetic resonance) revealed multiple pelvic masses of unknown etiology concerning for endometriosis, malignancy, or splenosis. Diagnostic laparoscopy with surgical resection of the cul-de-sac masses was performed and pathology confirmed splenosis. The patient reported resolution of her complaints postoperatively, resulting in improved quality of life. CONCLUSIONS Although splenosis is a known condition that can occur after trauma, pelvic splenosis is less often described in the gynecologic literature, leading to diagnostic ambiguity with uterine and ovarian masses as well as endometriosis. We describe a case of splenosis presenting similarly to endometriosis with the aim to improve awareness and diagnostic accuracy of these confounding conditions.

求助全文
约1分钟内获得全文 求助全文
来源期刊
American Journal of Case Reports
American Journal of Case Reports Medicine-Medicine (all)
CiteScore
1.80
自引率
0.00%
发文量
599
期刊介绍: American Journal of Case Reports is an international, peer-reviewed scientific journal that publishes single and series case reports in all medical fields. American Journal of Case Reports is issued on a continuous basis as a primary electronic journal. Print copies of a single article or a set of articles can be ordered on demand.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信