Gligorievski, Antonio (2017) Ectopic spleen presenting as pelvic mass. Trends in Medicine, 17 (1). ISSN 15942848
Full text not available from this repository.Abstract
Abstract
Introduction: Ectopic spleen is a very rare clinical entity, characterized by the absence of one or more of the ligaments, in which the spleen is located outside of its
normal position. The spleen can be found anywhere in the abdomen or pelvis owing to its long, vascular pedicle. Ectopic spleens are found more commonly in women.
Patients are often asymptomatic and the diagnosis can be accidental.
Case presentation: A female patient at the age of 67 years was undergone on CT investigation after a clinical finding of a suspicious hernia on the anterior abdominal
wall. The patient complains of pain in the lower abdomen. A post contrast CT scans clearly reveal of an ectopic spleen in the pelvis with normal enhancement and no
signs of infarction or torsion. There was a long splenic pedicle containing tortuous vessels.
Discussion: Clinical manifestations of ectopic spleen vary from asymptomatic to complications related to torsion. Imaging findings of the ectopic spleen are the
absence of the spleen in its normal position and a mass located anywhere in the abdomen or pelvis with enhancement pattern of a normal splenic tissue. The treatment
choice of an ectopic spleen is splenopexy. Splenectomy is required only in case of infarction, which can be diagnosed radiologically.
Conclusion: This diagnosis should be considered whenever there are mobile abdominal or pelvic mass, signs, and symptoms of an abdominal discomfort, or an acute
abdomen or during investigations of chronic intermittent abdominal pain. CT is the most used methods for diagnosis which revealed the absence of the spleen in its
normal position, and a homogeneous mass with contrast enhancement located in the pelvis.
| Item Type: | Article |
|---|---|
| Impact Factor Value: | 2.2 |
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Antonio Gligorievski |
| Date Deposited: | 08 Feb 2021 08:22 |
| Last Modified: | 08 Feb 2021 08:22 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/24390 |
Actions (login required)
 |
View Item |