Radiological study of splenosis: A great mimicker of tumor a literature review with case reports

Maram M Fathi Ahmed * and Esra Salam Mohamed Ali

Radiological Sciences department and Nuclear Medicine Technology department, Applied medical sciences, Inaya medical colleges, Saudi Arabia.
 
Review
International Journal of Scientific Research Updates, 2023, 05(02), 054–059.
Article DOI: 10.53430/ijsru.2023.5.2.0043
Publication history: 
Received on 18 April 2023; revised on 26 May 2023; accepted on 29 May 2023
 
Abstract: 
Splenosis is a harmless condition after a splenic injury or a spleen removal. It is heterotopic autotransplantation of splenic tissue seen inside the abdominal and pelvic holes. On imaging, various conditions can be differential diagnosis with splenosis, including metastatic infection, peritoneal carcinoma, peritoneal mesothelioma, stomach lymphoma, renal disease, hepatic adenomas, or endometriosis, dependent on its transmission. This review aims to increase public knowledge of this condition to avoid needless biopsies, surgeries, or treatments. Methods: We searched the PubMed and Scopus databases for relevant literature from 2002 through 2022 using the Medical Subject Headings Splenosis, Radiological, and Radionuclide diagnostic tools. In total, Thirty-five cases of splenosis were identified and reviewed. Conclusion: Splenosis should always be considered a differential diagnosis for soft tissue nodules in the abdomen and pelvis in patients with splenic surgery or trauma, especially without systemic symptoms. The literature documented only a few examples of splenosis, along with the radiologic features of these lesions. We review instances of splenosis identified by Scintigraphy, magnetic resonance imaging, computed tomography, and ultrasound. Our research expects this review to be considered a unique to compare the diagnosis made by radiologic and Radionuclide testing without any other form of treatment.
 
Keywords: 
Splenosis; US; CT; MRI; Scintigraphy
 
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