Splenosis mimicking an intra-abdominal malignancy

摘要: Splenosis is the autotransplantation of fragmented splenic tissue, occurring as a result traumatic rupture onto peritoneum, abdominal viscera, and occasionally extra-abdominal surfaces [ 11. It usually an incidental finding, but it mimics primary metastatic tumors seen on radiologic studies. We describe patient in whom multiple masses were identified radiographically diagnosis tumor implants was initially entertained. However, because his history post-traumatic splenectomy, splenosis suspected later confirmed by review peripheral blood smear, radionuclide scanning, percutaneous needle aspiration cytology. The splenosis, its clinical significance, diagnostic procedures are reviewed. CASEREPORT A 46-year-old white man first at this institution October 1986 after transfer from another hospital with acute gastrointestinal hemorrhage. He had been taking ibuprofen penicillin for tooth abscess when, day admission, he nine melenic stools associated nausea, weakness, orthostatic lightheadedness. Nasogastric lavage produced intermittent coffee ground-like aspirate. Past medical revealed cigarette smoking, splenectomy age seven motor vehicle accident, appendectomy 26. abused ethanol six prior episodes bleeding over preceding four years. Physical examination pale, obese, regular pulse rate 115 beats/minute pressure 140/80 mm Hg. There perioral telangectasias. abdomen soft, mildly distended, tympanitic. liver edge firm lo-cm span mid-clavicular line percussion. Rectal showed melenic, heme-positive stool.