Benign splenosis mimicking peritoneal seeding in a bladder cancer patient: A case report

Stefania Rizzo, Lorenzo Monfardini, Maddalena Belmonte, Bernardo Rocco, Massimo Bellomi

Research output: Contribution to journalArticle

Abstract

Introduction: Splenosis is a post-traumatic autotrasplantation and proliferation of splenic tissue in ectopic sites. These implants may mimic malignancy in healthy patients or peritoneal metastases in cancer patients. When a previous history of splenic injury is known, the finding of soft tissue nodules in many thoracic and abdominal locations might raise the suspicion of the benign condition of splenosis, in order to avoid unnecessary surgery or chemotherapy. Case presentation: A 56-year-old man with history of persistent hematuria from bladder cancer was referred to our Institution for suspected peritoneal carcinosis. For staging purposes he underwent abdominal computed tomography and ultrasound. The integration of patient's history and imaging results led to the diagnosis of peritoneal splenosis. The patient therefore underwent regular Trans Urethral Resection of Bladder for the known malignancy; while no treatment was necessary for splenosis. Two years follow-up was negative for metastases. Conclusion: Splenosis is a benign condition after traumatic splenectomy which should be taken into account in the differential diagnosis with peritoneal seeding of malignancy because its appearance may resemble malignancy.

Original languageEnglish
Article number9294
JournalCases Journal
Volume2
Issue number12
DOIs
Publication statusPublished - Dec 2009

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Splenosis
Urinary Bladder Neoplasms
Neoplasms
Neoplasm Metastasis
Unnecessary Procedures
Choristoma
Hematuria
Splenectomy
Urinary Bladder
Differential Diagnosis
Thorax
Tomography
Drug Therapy
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

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Benign splenosis mimicking peritoneal seeding in a bladder cancer patient : A case report. / Rizzo, Stefania; Monfardini, Lorenzo; Belmonte, Maddalena; Rocco, Bernardo; Bellomi, Massimo.

In: Cases Journal, Vol. 2, No. 12, 9294, 12.2009.

Research output: Contribution to journalArticle

Rizzo, Stefania ; Monfardini, Lorenzo ; Belmonte, Maddalena ; Rocco, Bernardo ; Bellomi, Massimo. / Benign splenosis mimicking peritoneal seeding in a bladder cancer patient : A case report. In: Cases Journal. 2009 ; Vol. 2, No. 12.
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