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Case report
Metastatic malignancy mimics: a rare case of traumatic splenosis mimicking intra-abdominal malignancy
  1. Vinoth Nadesalingam1,
  2. Laura May Davis2,
  3. Gill Vivian3 and
  4. Benjamin Corcoran3
  1. 1Gastroenterology, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, UK
  2. 2Department of Insititute of Nucelar Medicine, University College London, London, UK
  3. 3Nuclear Medicine, King's College Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Vinoth Nadesalingam; v.nadesalingam{at}nhs.net

Abstract

We present a case of a patient, undergoing imaging for an unrelated presentation, whose adolescent abdominal trauma had caused an unrecognised disseminated intra-abdominal splenosis, resulting in an imaging presentation on CT that suggested intra-abdominal malignancy. The lack of correlative symptoms of disseminated malignancy, in addition to imaging findings suggesting previous upper abdominal trauma, led to a suggestion that the intra-abdominal lesion might represent spleen tissue. A denatured red cell scan with radio-labelled technetium-99m, allowed this tissue to be confirmed as splenic in nature, and an invasive, and potentially risky biopsy was averted.

  • radiology
  • haematology (incl blood transfusion)
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Footnotes

  • Twitter @lmdmay

  • Contributors LMD drafted and wrote the final manuscript with assistance from VN. BC provided the images for the case. GV proofed the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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