Splenosis: An Unusual Cause of Pelvic Pain |
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| Affiliation: | 1. Faculty of Health and Medical Sciences, School of Health Sciences, University of Surrey, UK;2. Faculty of Health and Medical Sciences, School of Psychology, University of Surrey, UK;3. Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, UK;4. Department of Urology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK;5. Department of Obstetrics and Gynaecology, Whipps Cross University Hospital, Barts Health NHS Trust, London, UK;6. Division of Children and Women''s Health, The Royal Sussex County Hospital, University Hospitals Sussex;7. Centre for Implementation Science, Health Service and Population Research Department, King''s College London, London, UK;8. Barts Health NHS Trust, Urology Network Director, Department of Urology, Whipps Cross Hospital, London, UK;1. Maharana partap University of Agriculture and Technology, Udaipur, 313001, India;2. Maharana Partap University of Agriculture and Technology, Udaipur, 313001, India |
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| Abstract: | A 37-year-old woman, G4P2A2 presented to her gynaecologist with a six-month history of pelvic pain and deep dyspareunia. Her past medical history was significant for a traumatic splenic rupture at age six which required immediate splenectomy. Pelvic ultrasound and subsequent laparoscopy revealed the presence of a solid pelvic mass. At the time of exploratory laparotomy, a diagnosis of splenosis was made: four splenules were found filling the cul-de-sac, as well as two splenules over the transverse colon. Her symptoms were subsequently much relieved by the removal of the uterus and of the four autotransplanted spleens. |
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| Keywords: | Splenosis pelvic pain pelvic mass dyspareunia splenic trauma |
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