Splenosis presenting with adnexal mass: a case report

Murat Celiloglu, Celiloglu M, Dogan E, Erbil Dogan, Sebnem Kocoglu, Kocoglu S, Sarihan E, Evrim Sarihan
Archives of gynecology and obstetrics · 2004 · doi:10.1007/s00404-002-0470-9 · PMID:15449073
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Pelvic splenosis, mistaken for endometriosis in a young woman with a history of splenic rupture, presented as an adnexal mass that was surgically removed.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a case of a 21-year-old woman with low abdominal discomfort, dysmenorrhoea, and a pelvic mass, whose symptoms and history led to an initial misdiagnosis of endometriosis. Using laparotomy, the authors identified pelvic splenosis—peritoneal splenic implants following prior traumatic splenic rupture and surgery. The pelvic mass was removed, while other implants were left in place. This paper is centrally about endometriosis — it describes splenosis that mimicked endometriosis, including misdiagnosis and symptom overlap (dysmenorrhoea and pelvic mass).

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Abstract

A 21-year-old woman presenting with low abdominal discomfort, dysmenorrhoea and pelvic mass was misdiagnosed as endometriosis. She had post-traumatic splenic rupture and laparotomy history. RESULTS. Pelvic splenosis was diagnosed at laparotomy. Pelvic mass was removed and the other implants were left.
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Abstract

Case report A 21-year-old woman presenting with low abdominal discomfort, dysmenorrhoea and pelvic mass was misdiagnosed as endometriosis. She had post-traumatic splenic rupture and laparotomy history.

Results

Pelvic splenosis was diagnosed at laparotomy. Pelvic mass was removed and the other implants were left. Similar content being viewed by others

References

Auerbach RD, Kohorn EI, Corneilius EA, Chambers JT (1985) Splenosis: a complicating factor in total abdominal hysterectomy. Obstet Gynecol 65:65S–68S Buchbinder JH, Lipkoff CJ (1939) Splenosis: multiple peritoneal splenic implants following abdominal injury. Surgery 6:927–930 Matonis LM, Luciano AA (1995) A case of splenosis masquerading as endometriosis. Am J Obstet Gynecol 173:971–973 Matorras R, Marque's M, Gonzalez F, Rodriguez-Escuerdo F (2001) Pelvic spleen: a very rare entity not to be misdiagnosed by the laparoscopic surgeon. Acta Obstet Gynecol Scand 80:1146–1147 Muller U, Ruthlin M (1995) Splenic neoformation following trauma-induced splenectomy-diagnosis and function. Swiss Surg 5:230–235 Overton TH (1982) Splenosis: a cause of pelvic pain. Am J Obstet Gynecol 143:969–970 Stovall TG, Ling FW (1988) Splenosis: report of a case and review of the literature. Obstet Gynecol Surv 43:69–72 Zitzer P, Pansky M, Maymon R, Langer R, Bukovsky I, Golan A (1998) Pelvic splenosis mimicking endometriosis, causing low abdominal mass and pain. Hum Reprod 13:1683–1685 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Celiloglu, M., Dogan, E., Kocoglu, S. et al. Splenosis presenting with adnexal mass: a case report. Arch Gynecol Obstet 270, 129–130 (2004). https://doi.org/10.1007/s00404-002-0470-9 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-002-0470-9

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Adnexal Diseases Splenosis Splenosis Adnexal Diseases Adult Diagnosis, Differential Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Humans Laparotomy Pelvic Pain Pelvic Pain Splenosis Splenosis Ultrasonography

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