J Korean Surg Soc.
2002 May;62(5):450-452.
Splenosis with Cyclic Abdominal Pain Misdiagnosed as Ovarian Dermoid Cyst
- Affiliations
-
- 1Department of Surgery, Hanyang University College of Medicine, Seoul, Korea. ojkwon@hanyang.ac.kr
- 2Department of Gynecology, Hanyang University College of Medicine, Seoul, Korea.
- 3Department of Pathology, Hanyang University College of Medicine, Seoul, Korea.
Abstract
- Splenosis is defined as the autotransplantation of splenic tissue after a traumatic splenic injury or a splenectomy. It has often been mistaken as an endometriosis, an intraperitoneal carcinoma, a hemangioma and an accessory spleen. It is clinically significant in that it requires no treatment if it is asymptomatic. Here we report a case of 34 year-old woman who had a pelvic splenosis with cyclic abdominal pain for several years, which was initially misdiagnosed as ovarian dermoid cyst. At the time of exploration, a splenosis was observed in the pelvic cavity. After surgery, a multiple splenosis in the abdominal cavity was found through a Tc-99m heat denatured red blood cell scan. The removal of the splenosis in the pelvic cavity resulted in an improvement in her symptoms.
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