An unusual pelvic mass: Contrast-enhanced sonographic diagnosis of pelvic splenosis |
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Authors: | Ross Kruger MB BS BSc (Hons) Simon Freeman MB BS MRCP FRCR |
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Affiliation: | 1. South West Peninsula Training Scheme, Peninsula Radiology Academy, Plymouth International Business Park, Plymouth, PL6 5WR, United Kingdom;2. Department of Radiology, Imaging Directorate, University Hospitals Plymouth NHS Trust, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, United Kingdom |
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Abstract: | Splenosis is an unusual condition representing auto-transplantation of splenic tissue following splenic trauma or surgery. When detected on imaging studies, the splenosis deposits are usually misinterpreted as pathological masses. We present a case where a pelvic mass incidentally visualized on an MRI examination, was proven to represent a deposit of splenosis by contrast enhanced ultrasound (CEUS). CEUS demonstrated persistent late-phase enhancement characteristic of splenic tissue. Ultrasound practitioners should be aware of this condition when an unusual abdominal or pelvic mass is encountered in a patient with a history of splenic trauma or surgery. CEUS is ideally suited to confirming the diagnosis. |
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Keywords: | CEUS contrast enhanced ultrasound pelvis splenosis |
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