A rare and fortunate case of unruptured splenic peliosis – case report and literature review
DOI:
https://doi.org/10.18203/2349-2902.isj20243559Keywords:
Isolated peliosis, Spleen, Splenectomy, Unruptured peliosis, Uncommon splenic diseases, Splenic tumour-like lesionsAbstract
Splenic peliosis is an extremely rare pathological entity of unclear etiology characterized by the presence of multiple blood-filled cavities. Although numerous associations have been described in the literature, the etiology remains unclear. The present case is about a healthy 40-year-old woman who was referred to our institution due to chronic symptoms of abdominal discomfort and constipation. Despite the abdominal computed tomography (CT) scan and abdominal magnetic resonance imaging (MRI) reported an adrenal mass, reviewing the scans, the radiologist suggested a 17,5 cm, well-vascularized splenic mass. A splenectomy was performed, without any complications. We discuss the current available literature and emphasize the importance of awareness of this diagnosis.
References
Blichárová A, Benetinová Z, Mátyás T, Labaj P, Verbóová Ľ, Tancoš V, et al. Peliosis of the spleen as an unusual cause of splenic rupture: A case report and a review of literature. J Forensic Leg Med. 2024;103:102659.
Adachi K, Ui M, Nojima H, Takada Y, Enatsu K. Isolated splenic peliosis presenting with giant splenomegaly and severe coagulopathy. Am J Surg. 2011;202(2):e17-9.
Junior M, Zanco G, Sala M, El-Ibrahim R. Splenic peliosis: a case report. Braz Arch Digest Surg. 2011;24(2).
Chandra A, Navarro SM, Killeen TF, Nemanich G, Harmon JV. Spontaneous splenic rupture due to Peliosis and the association with malignancy: A case series and literature review. Int J Surg Case Rep. 2023;110:108676.
Nassr B, Hassan W, Nassr HN, Allouzi A, Al‐Shebly M. Isolated splenic peliosis: a case report. J Med Case Rep. 2023;17:298.
Terada T. Isolated splenic peliosis: Case report and consideration of histogenesis. Human Pathol Case Rep. 2015;144:1.
Mohandas P, Krim AOA, Samson P. Unexpected finding of splenic peliosis in a traumatic spleen in a patient with cleidocranial dysplasia. SA J Radiol. 2018;22(1):1371.
Magwai MG, Andronikou S. Isolated splenic peliosis in an immunocompromised patient. S Afr J Surg. 2012;50(3):92.
Santos B, Mendez B, Almeida P, Dias B, Miguel I, Pina S, et al. Spontaneous splenic rupture in the context of taking DOAC in a patient with splenic peliosis. Revista Algarve Médico. 2022;20.
Begum S, Muhammad K. Splenic Peliosis and Rupture − A Surgical Emergency Case Report and Review of the Available Literature. J Appl Hematol. 2016;7(4):143-7.
Abo D, Terae S, Fukasawa Y, Seki H, Hasegawa Y, Sakuhara Y, et al. Splenic peliosis mimicking a solid tumor: findings in multimodalities. J Comput Assist Tomogr. 2008;32(6):890-2.
Davidson J, Tung K. Splenic peliosis: an unusual entity. Br J Radiol. 2010;83(990):e126-80.
Rhu J, Cho J. Ruptured splenic peliosis in a patient with no comorbidity: A case report. World J Clin Cases. 2020;8(3):535-9.
Lashbrook DJ, James RW, Phillips AJ, Holbrook AG, Agombar AC. Splenic peliosis with spontaneous splenic rupture: report of two cases. BMC Surg. 2006;6:9.
