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KMID : 0371320020620050450
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Journal of the Korean Surgical Society
2002 Volume.62 No. 5 p.450 ~ p.452
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Splenosis with Cyclic Abdominal Pain Misdiagnosed as Ovarian Dermoid Cyst
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Ha Mi-Kyung
Kwon Oh-Jung
Lee Kwong-Soo
Hwang Youn-Yeung
Hong Eun-Kyung
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Abstract
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Splenosis is defined as the autotransplantation of splenic tissue after a traumatic splenic injury or a splenectomy. It has often been mistaken as an endometriosis, an intraperitoneal carcinoma, a hemangioma and an accessory spleen. It is
clinically
significant in that it requires no treatment if it is asymptomatic. Here we report a case of 34 year-old woman who had a pelvic splenosis with cyclic abdominal pain for several years, which was initially misdiagnosed as ovarian dermoid cyst. At the
time
of exploration, a splenosis was observed in the pelvic cavity. After surgery, a multiple splenosis in the abdominal cavity was found through a Tc-99m heat denatured red blood cell scan. The removal of the splenosis in the pelvic cavity resulted in
an
improvement in her symptoms.
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