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

World Journal of Clinical Cases 2021年第12期9卷 2868-2873页

作者： Alessio Tognarelli Lorenzo Faggioni Anna Paola Erba Pinuccia Faviana Jacopo Durante Francesca Manassero Cesare Selli Department of Translational Research and New Technologies in Medicine and Surgery Section of UrologyUniversity of PisaPisa 56126Italy Department of Translational Research and New Technologies in Medicine and Surgery Section of Diagnostic and Interventional RadiologyUniversity of PisaPisa 56126Italy Department of Translational Research and New Technologies in Medicine and Surgery Section of Nuclear MedicineUniversity of PisaPisa 56126ItalyPisa 56126Italy Department of Surgical Medical and Molecular Pathology and Critical AreaSection of PathologyUniversity of PisaPisa 56126Italy

BACKGROUND‘splenosis’is defined as the autotransplantation of splenic tissue following trauma or surgery,usually in the form of intraperitoneal *** proliferation of imaging techniques has resulted in increased unexpected discoveries of splenosis nodules,and achieving a differential diagnosis can be *** medicine studies have been playing an increasingly important role in this process,but the clinical significance of asymptomatic nodules remains *** 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 *** histological diagnosis was deemed necessary,the nodule was easily removed with robotically assisted laparoscopy,together with another 6 mm left a paracolic *** latter was previously undiagnosed but retrospectively visible on the CT *** 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

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