Scientific article
Case report

Pelvic splenosis mimicking a suspicious adnexal mass

Published inBMJ case reports, vol. 14, no. 7, e243505
Publication date2021-07-13
First online date2021-07-13

A 58-year-old asymptomatic woman was referred to our gynecologic oncology unit for the management of a left adnexal mass found during a routine gynecologic examination. Her personal history included an emergency splenectomy at the age of 4 years old, following traumatic splenic laceration after a car accident. The patient's work-up (including transvaginal ultrasound and MRI) confirmed a pelvic solid mass, which was reported as suspicious for malignancy and classified as Ovarian-Adnexal Reporting & Data System-MRI 5. An exploratory laparoscopy was performed, showing a reddish blue lesion located at the left broad ligament. Histologic analysis showed the presence of splenic tissue and normal adnexa. The postoperative follow-up was uneventful.Pelvic splenosis is a challenging diagnosis rarely made preoperatively due to concern for malignancy. In the presence of a pelvic mass, the collection of a detailed patient's history, including information about previous splenic rupture, might raise suspicion for pelvic splenosis.

  • Gynaecology and fertility
  • Gynecological cancer
  • Obstetrics
  • Pathology
  • Radiology
  • Adnexal Diseases / diagnostic imaging
  • Adnexal Diseases / surgery
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Pelvis / diagnostic imaging
  • Splenectomy
  • Splenosis / diagnostic imaging
Citation (ISO format)
PETER, Clarisse et al. Pelvic splenosis mimicking a suspicious adnexal mass. In: BMJ case reports, 2021, vol. 14, n° 7, p. e243505. doi: 10.1136/bcr-2021-243505
Main files (1)
Article (Published version)
ISSN of the journal1757-790X

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