Splenic Cysts and the Case of Mistaken Identity

被引:1
作者
Krzeczowski, Rachel M. [1 ]
Jackson, Theresa N. [2 ]
Kabbani, Wareef [3 ]
Verner, Heather M. Grossman [1 ]
Sladek, Phillip [4 ]
机构
[1] Methodist Hlth Syst, Clin Res, Dallas, TX USA
[2] Methodist Hlth Syst, Med Educ, Dallas, TX USA
[3] Methodist Hlth Syst, Surg Pathol, Dallas, TX USA
[4] Methodist Hlth Syst, Surg Acute Care, Dallas, TX 75203 USA
关键词
splenic cysts; general gynecology; endometriosis; splenectomy; trauma; MANAGEMENT; ENDOMETRIOSIS; SURGERY; TRAUMA;
D O I
10.7759/cureus.22012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Endometriosis is a well-described pathology, with anatomic location of endometrial cell implantation extending both intraperitoneal and rarely extraperitoneal. Interestingly, previous reports indicated that the spleen enjoys immunity to endometriosis. Here, we present a patient with unremitting abdominal pain who, upon further workup, revealed multicystic disease of the spleen. The patient underwent an open splenectomy with pathology revealing intraparenchymal endometriosis likely due to seeding from traumatic splenorrhaphy. Two-week follow-up demonstrated resolution of symptoms and a well-healing incision with no postoperative complications.
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页数:5
相关论文
共 13 条
[1]   INTESTINAL ENDOMETRIOSIS - PRESENTATION, INVESTIGATION, AND SURGICAL-MANAGEMENT [J].
CAMERON, IC ;
ROGERS, S ;
COLLINS, MC ;
REED, MWR .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1995, 10 (02) :83-86
[2]   Neural involvement in endometriosis: Review of anatomic distribution and mechanisms [J].
De Sousa, Ana C. Siquara ;
Capek, Stepan ;
Amrami, Kimberly K. ;
Spinner, Robert J. .
CLINICAL ANATOMY, 2015, 28 (08) :1029-1038
[3]   Clinical Management of Endometriosis [J].
Falcone, Tommaso ;
Lebovic, Dan I. .
OBSTETRICS AND GYNECOLOGY, 2011, 118 (03) :691-705
[4]   SPLENORRHAPHY - THE ALTERNATIVE [J].
FELICIANO, DV ;
SPJUTPATRINELY, V ;
BURCH, JM ;
MATTOX, KL ;
BITONDO, CG ;
CRUSEMARTOCCI, P ;
JORDAN, GL .
ANNALS OF SURGERY, 1990, 211 (05) :569-582
[5]   Surgery of cysts of the spleen [J].
Fowler, RH .
ANNALS OF SURGERY, 1921, 74 :20-36
[6]  
JENKINS S, 1986, OBSTET GYNECOL, V67, P335
[7]  
Karfis EA, 2009, JSLS-J SOC LAPAROEND, V13, P207
[8]   Computed tomography of the spleen: How to interpret the hypodense lesion [J].
Karlo C.A. ;
Stolzmann P. ;
Do R.K. ;
Alkadhi H. .
Insights into Imaging, 2013, 4 (1) :65-76
[9]  
McIntyre T, 2013, CURRENT SURG THERAPY, P520
[10]  
Roberts Lisa M, 2003, JSLS, V7, P371