Maggialetti Nicola, Ciaccia Michele, Rubini Dino, Pisani Antonio Rosario, Santo Giulia, Lucarelli Nicola Maria, Ianora Amato Antonio Stabile
Department of Basic Medical Sciences, Neuroscience and Sense Organs (DSMBNOS), Section of Radiodiagnostic, University of Bari Medical School "Aldo Moro", Piazza Giulio Cesare 11, 70124, Bari, Italy.
Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School "Aldo Moro", Piazza Giulio Cesare 11, 70124, Bari, Italy.
Radiol Case Rep. 2022 Jul 29;17(10):3601-3606. doi: 10.1016/j.radcr.2022.06.096. eCollection 2022 Oct.
We present a rare case of pelvic splenosis, in a 46-year-old man, with a previous history of partial splenectomy, complaining of nonspecific pain in the lower abdominal quadrants. Splenosis is a benign acquired condition, defined as a heterotopic autotransplantation of splenic tissue in other compartments of the body, caused by rupture of the splenic capsule following trauma or splenectomy. Splenosis is often asymptomatic and incidentally found and does not require treatment. Surgery is indicated only in patients presenting with symptoms or complications. In our case, the multimodal imaging study (ultrasound, MRI, CT, and scintigraphy) allowed a correct differential diagnosis without resorting to invasive procedures, susceptible to complications.
我们报告一例罕见的盆腔脾组织植入病例，患者为一名46岁男性，既往有部分脾切除术史，主诉下腹部象限出现非特异性疼痛。脾组织植入是一种良性后天性疾病，定义为脾组织在身体其他部位的异位自体移植，由外伤或脾切除术后脾包膜破裂引起。脾组织植入通常无症状，多为偶然发现，无需治疗。仅在出现症状或并发症的患者中才考虑手术治疗。在我们的病例中，多模态影像学检查（超声、磁共振成像、计算机断层扫描和闪烁扫描）无需借助易引发并发症的侵入性检查即可做出正确的鉴别诊断。
