• J Clin Ultrasound · Mar 2019

    Case Reports

    An unusual pelvic mass: Contrast-enhanced sonographic diagnosis of pelvic splenosis.

    • Ross Kruger and Simon Freeman.
    • South West Peninsula Training Scheme, Peninsula Radiology Academy, Plymouth International Business Park, Plymouth, PL6 5WR, United Kingdom.
    • J Clin Ultrasound. 2019 Mar 1; 47 (3): 172-174.

    AbstractSplenosis 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.© 2018 Wiley Periodicals, Inc.

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