Laparoscopic Resection of a Left Upper Quadrant Mass Leading to a Surprise Diagnosis.

摘要: Background. Resplenectomy is most commonly done for the treatment of recurrent idiopathic thrombocytopenic purpura (ITP) refractory to medical management due regrowth a missed accessory spleen. Case Report. A 66-year-old male had undergone open splenectomy traumatic rupture 40 years ago. He presented with leiomyosarcoma his leg, which was surgically removed. When he developed metastatic disease, chemotherapy started. left upper quadrant pain, and on CT scan, 5 cm mass compatible sarcoma found between tail pancreas adrenal gland. During laparoscopy, dense adhesion omentum abdominal wall stomach from previous divided. The lesser sac opened through gastrocolic ligament, splenic flexure taken down. Superior dorsal next gland, identified carefully dissected out. vascular pedicle, originated side branch vessels at pancreas, stapled. gastric fundus showed multiple nodules, therefore, modified sleeve gastrectomy done; also, 2 cm nodule in segment 5 liver an omental were tumors specimen placed endobag removed periumbilical mini-incision. patient recovered without any complications procedure LUQ pain resolved. Pathology revealed no metastases but spleens all specimens. Discussion. Splenosis implants within abdomen after trauma rare condition. In our patient, this seems have been triggered by resulting extramedullary hemopoiesis. Laparoscopic removal can be safely done.