Laparoscopic treatment of splenosis: Report of a case
A 52-year-old woman with a history of splenectomy for a splenic injury 45 years earlier underwent investigations for a pre-existing gynecologic disease. Contrastenhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a tumor, 3 cm in diameter, adjacent to the sigmoid...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2009-12, Vol.39 (12), p.1098-1102 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Hashimoto, Kenkichi Orita, Hiroyuki Koga, Tadashi Kawanaka, Hirofumi Kono, Hitoshi Maehara, Yoshihiko |
| description | A 52-year-old woman with a history of splenectomy for a splenic injury 45 years earlier underwent investigations for a pre-existing gynecologic disease. Contrastenhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a tumor, 3 cm in diameter, adjacent to the sigmoid colon, suggestive of a gastrointestinal stromal tumor (GIST). Laparoscopic exploration revealed a white mass protruding from the subserosa of the sigmoid colon, and we performed laparoscopic-assisted sigmoidectomy to rule out a GIST. Pathological studies showed splenic tissue, thus confirming a diagnosis of splenosis, given the history of splenic injury. This case of splenosis mimicking GIST following splenic injury was diagnosed correctly and treated successfully with laparoscopic surgery. To our knowledge, this is the first case of splenosis treated with laparoscopic colectomy with no tumor extirpation. |
| doi_str_mv | 10.1007/s00595-008-3970-9 |
| format | Article |
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Contrastenhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a tumor, 3 cm in diameter, adjacent to the sigmoid colon, suggestive of a gastrointestinal stromal tumor (GIST). Laparoscopic exploration revealed a white mass protruding from the subserosa of the sigmoid colon, and we performed laparoscopic-assisted sigmoidectomy to rule out a GIST. Pathological studies showed splenic tissue, thus confirming a diagnosis of splenosis, given the history of splenic injury. This case of splenosis mimicking GIST following splenic injury was diagnosed correctly and treated successfully with laparoscopic surgery. 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Contrastenhanced abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a tumor, 3 cm in diameter, adjacent to the sigmoid colon, suggestive of a gastrointestinal stromal tumor (GIST). Laparoscopic exploration revealed a white mass protruding from the subserosa of the sigmoid colon, and we performed laparoscopic-assisted sigmoidectomy to rule out a GIST. Pathological studies showed splenic tissue, thus confirming a diagnosis of splenosis, given the history of splenic injury. This case of splenosis mimicking GIST following splenic injury was diagnosed correctly and treated successfully with laparoscopic surgery. To our knowledge, this is the first case of splenosis treated with laparoscopic colectomy with no tumor extirpation.</description><subject>Biopsy, Needle</subject><subject>Case Report</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Injury Severity Score</subject><subject>Laparoscopy</subject><subject>Magnetic Resonance Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Spleen - injuries</subject><subject>Spleen - surgery</subject><subject>Splenectomy - adverse effects</subject><subject>Splenectomy - methods</subject><subject>Splenosis - diagnosis</subject><subject>Splenosis - pathology</subject><subject>Splenosis - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6A7xIb56qkyZtEm-y-AULgug5TNOpdOk2NWkP_nu7dsGbp4GZ531hHsYuOdxwAHUbAXKTpwA6FUZBao7YkktRpJnm4pgtwUie8szwBTuLcQuQSQ1wyhbcGKM0hyXLN9hj8NH5vnHJEAiHHXVD4usk9i11PjbxLnmj3offJSYOI52zkxrbSBeHuWIfjw_v6-d08_r0sr7fpE6YYkhFhSXqXGdaEnKnkZzRlItC1SCkwQqdpkzWQlZFicpUyBFl7WReOg06Eyt2Pff2wX-NFAe7a6KjtsWO_BitEpIrxbmZSD6TbnomBqptH5odhm_Lwe5l2VmWnWTZvSy7z1wd2sdyR9Vf4mBnArIZiNOp-6Rgt34M3fTxP60_vmR0iQ</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Hashimoto, Kenkichi</creator><creator>Orita, Hiroyuki</creator><creator>Koga, Tadashi</creator><creator>Kawanaka, Hirofumi</creator><creator>Kono, Hitoshi</creator><creator>Maehara, Yoshihiko</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>Laparoscopic treatment of splenosis: Report of a case</title><author>Hashimoto, Kenkichi ; Orita, Hiroyuki ; Koga, Tadashi ; Kawanaka, Hirofumi ; Kono, Hitoshi ; Maehara, Yoshihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-3daba858284ea1c8aec98e5367f0349adac8e24f34d6ba79da1aa4fc45bc80823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biopsy, Needle</topic><topic>Case Report</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Injury Severity Score</topic><topic>Laparoscopy</topic><topic>Magnetic Resonance Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Spleen - injuries</topic><topic>Spleen - surgery</topic><topic>Splenectomy - adverse effects</topic><topic>Splenectomy - methods</topic><topic>Splenosis - diagnosis</topic><topic>Splenosis - pathology</topic><topic>Splenosis - surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hashimoto, Kenkichi</creatorcontrib><creatorcontrib>Orita, Hiroyuki</creatorcontrib><creatorcontrib>Koga, Tadashi</creatorcontrib><creatorcontrib>Kawanaka, Hirofumi</creatorcontrib><creatorcontrib>Kono, Hitoshi</creatorcontrib><creatorcontrib>Maehara, Yoshihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashimoto, Kenkichi</au><au>Orita, Hiroyuki</au><au>Koga, Tadashi</au><au>Kawanaka, Hirofumi</au><au>Kono, Hitoshi</au><au>Maehara, Yoshihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic treatment of splenosis: Report of a case</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>39</volume><issue>12</issue><spage>1098</spage><epage>1102</epage><pages>1098-1102</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>A 52-year-old woman with a history of splenectomy for a splenic injury 45 years earlier underwent investigations for a pre-existing gynecologic disease. 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| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2009-12, Vol.39 (12), p.1098-1102 |
| issn | 0941-1291 1436-2813 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Biopsy, Needle Case Report Female Follow-Up Studies Humans Immunohistochemistry Injury Severity Score Laparoscopy Magnetic Resonance Imaging Medicine Medicine & Public Health Middle Aged Spleen - injuries Spleen - surgery Splenectomy - adverse effects Splenectomy - methods Splenosis - diagnosis Splenosis - pathology Splenosis - surgery Surgery Surgical Oncology Time Factors Tomography, X-Ray Computed Treatment Outcome |
| title | Laparoscopic treatment of splenosis: Report of a case |
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