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Journal of Gastrointestinal Surgery

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01-08-2012 | GI Image

Intramural Colonic Splenosis: A Rare Case of Lower Gastrointestinal Bleeding

Authors: Izi D. Obokhare, Edwin Beckman, David E. Beck, Charles B. Whitlow, David A. Margolin

Published in: Journal of Gastrointestinal Surgery | Issue 8/2012

Abstract

Background

A 41-year-old man had left upper quadrant abdominal pain, constipation, and melena. About 6 years previously, he received a single gunshot wound to the abdomen, which required partial gastrectomy and small bowel resection. He subsequently developed bleeding gastric varices for which he underwent a splenectomy 2 years before the current admission.

Discussion

A CT scan identified a 6.5 × 2.5 cm left upper quadrant mass. Upper endoscopy was unremarkable, but on colonoscopy, a 3-cm polypoid mass partially obstructed the descending colon. A left hemicolectomy was performed with a primary colonic anastomosis and incidental appendectomy. The mass involved the muscularis of the colon and caused ulceration of the mucosa was ectopic hyperplasic splenic tissue, indicating intramural colonic splenosis. We hypothesize that after the patient's splenectomy, a colonic focus of heterotrophic spleen became hyperplastic and led to a clinically apparent lesion.

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Title: Intramural Colonic Splenosis: A Rare Case of Lower Gastrointestinal Bleeding
Authors: Izi D. Obokhare
Edwin Beckman
David E. Beck
Charles B. Whitlow
David A. Margolin
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-1875-9

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Intramural Colonic Splenosis: A Rare Case of Lower Gastrointestinal Bleeding

Abstract

Background

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Discussion

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