Robotically assisted removal of pelvic splenosis fifty-six years after splenectomy: A case report  

作　　者：Alessio Tognarelli Lorenzo Faggioni Anna Paola Erba Pinuccia Faviana Jacopo Durante Francesca Manassero Cesare Selli 

机构地区：[1]Department of Translational Research and New Technologies in Medicine and Surgery,Section of Urology,University of Pisa,Pisa 56126,Italy [2]Department of Translational Research and New Technologies in Medicine and Surgery,Section of Diagnostic and Interventional Radiology,University of Pisa,Pisa 56126,Italy [3]Department of Translational Research and New Technologies in Medicine and Surgery,Section of Nuclear Medicine,University of Pisa,Pisa 56126,Italy,Pisa 56126,Italy [4]Department of Surgical,Medical and Molecular Pathology and Critical Area,Section of Pathology,University of Pisa,Pisa 56126,Italy

出　　处：《World Journal of Clinical Cases》2021年第12期2868-2873,共6页世界临床病例杂志

摘　　要：BACKGROUND‘Splenosis’is defined as the autotransplantation of splenic tissue following trauma or surgery,usually in the form of intraperitoneal nodules.The proliferation of imaging techniques has resulted in increased unexpected discoveries of splenosis nodules,and achieving a differential diagnosis can be challenging.Nuclear medicine studies have been playing an increasingly important role in this process,but the clinical significance of asymptomatic nodules remains uncertain.CASE SUMMARY We present a case of pelvic splenosis in a 73-year-old man diagnosed 56 years after a splenectomy during a computed tomography(CT)follow-up for B-cell lymphoma,presenting intense contrast enhancement of an 18 mm nodule in the right recto-vesical space.18F-fluorodeoxyglucose demonstrated weak metabolic activity.Since histological diagnosis was deemed necessary,the nodule was easily removed with robotically assisted laparoscopy,together with another 6 mm left a paracolic lesion.The latter was previously undiagnosed but retrospectively visible on the CT scan.CONCLUSION In a patient requiring differential diagnosis of splenosis nodules from lymphomarecurrence, the robotic approach provided a safe en bloc removal with shorthospitalization. The Da Vinci Xi robot was particularly helpful because its opticscan be introduced from all ports, facilitating visualization and lysis of multipleintra-abdominal adhesions.

关 键 词：Pelvic splenosis Computed tomography Nuclear medicine Robotically assisted laparoscopy Da Vinci Xi Case report 

分 类 号：R657.6[医药卫生—外科学]