Department of Urology, Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.
Department of Radiology, Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.
BMC Urol. 2022 Nov 16;22(1):187. doi: 10.1186/s12894-022-01138-w.
Most patients with splenosis have no clinical symptoms and do not need intervention. Hematospermia and testicular pain occurred in this patient, which was considered to be related to the huge pelvic implantation of the spleen, which was relatively rare in clinical practice, so we hereby report this case.
A 28-year-old male patient with a history of splenectomy was admitted to the Urology Department of the Second Affiliated Hospital of Anhui Medical University with the chief complaint of "Hematospermia for 1 month and testicular pain for 2 days". Preoperative imaging examination indicated pelvic mass. Combined with the patient's history of splenectomy for splenic rupture in childhood, the possibility of pelvic spleen implantation was considered. Laparoscopic pelvic exploration was performed. During the operation, multiple grayish-brown nodular tissues were observed in the space between the posterior bladder and rectum, and a lobulated grayish-brown mass with a diameter of about 9 cm was observed in the posterior upper part of the prostate gland and seminal vesicle at the pelvic floor. Two nodular tissues were removed intraoperatively and sent for quick frozen pathology, which was reported as spleen tissue. Further resection of the huge mass was performed, and the postoperative pathological results were consistent with the diagnosis of splenosis.
We report a rare case of splenosis presenting with hemospermia and testicular pain.
大多数脾组织异位患者无临床症状，无需干预。该患者出现血精和睾丸痛，考虑与巨大盆腔植入脾有关，在临床实践中较为少见，故报告此病例。
患者男，28 岁，因“血精 1 个月，睾丸痛 2 天”就诊于安徽医科大学第二附属医院泌尿外科。患者儿时因脾破裂行脾切除术，术前影像学检查提示盆腔包块，结合病史，考虑盆腔脾植入可能性大。行腹腔镜盆腔探查术，术中见膀胱直肠间隙多个灰棕色小结节状组织，前列腺底及精囊处盆壁后上方见一呈分叶状的灰棕色巨大肿块，直径约 9cm。术中取 2 个结节状组织行快速冰冻病理检查，回报为脾脏组织。进一步切除巨大肿块，术后病理结果与脾组织异位诊断一致。
我们报告了一例罕见的脾组织异位表现为血精和睾丸痛的病例。
