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  • Title: Splenosis with lower gastrointestinal bleeding mimicking colonical gastrointestinal stromal tumour.
    Author: Xiao SM, Xu R, Tang XL, Ding Z, Li JM, Zhou X.
    Journal: World J Surg Oncol; 2017 Apr 11; 15(1):78. PubMed ID: 28399879.
    Abstract:
    BACKGROUND: Splenosis refers to the heterotopic transplantation of splenic tissue following splenic trauma or splenectomy. Splenosis is typically asymptomatic and is often identified incidentally. CASE PRESENTATION: We report a case of splenosis with colon and stomach invasion presenting as lower gastrointestinal bleeding and mimicking colonic gastrointestinal stromal tumour (GIST). The importance of suspicion for splenosis in patients with a history of splenic injury should be highlighted. Computed tomography (CT)-guided biopsy, nuclear scintigraphy and ferumoxide-enhanced magnetic resonance imaging (MRI) can support an accurate diagnosis. CONCLUSIONS: An accurate diagnosis of splenosis is important to avoid unnecessary operations, especially in patients with previous histories of splenic trauma or splenectomy.
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