My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Archivos Españoles de Urología (Ed. impresa)
Print version ISSN 0004-0614
Abstract
PEREZ FENTES, Daniel et al. Splenosis simulating a renal mass. Arch. Esp. Urol. [online]. 2009, vol.62, n.5, pp.396-399. ISSN 0004-0614.
Objective: To report a case of splenosis and to review its diagnosis and treatment in the related literature. Method: We report the case of an asymptomatic 49-year-old man with splenectomy performed when he was 22. Lumbosacral MRI showed a left perirenal mass probably with renal origin. Results: CT scan ruled out the renal origin. Due to previous splenectomy, splenosis was suspected. 99mTc-labeled heat-damaged erythrocytes scan confirmed the diagnosis. No treatment was applied. Conclusions: Clinicians should be aware that unknown origin masses, mainly in the peritoneal cavity, with a history of previous splenic trauma or splenectomy, might represent splenosis. A non-invasive diagnosis can be achieved with 99mTc-sulphur colloid scan, 99mTc-labeled heat-damaged erythrocytes or ferrumoxide-enhanced MRI, thus avoiding unnecessary surgical explorations.
Keywords : Splenosis; Diagnosis; Treatment.