# Laparoscopic Management of Abdominopelvic Splenosis: A Case Report

**Authors:** Adel M Ismail, Samah S Elbasateeny, Amer Shafie

PMC · DOI: 10.7759/cureus.103118 · Cureus · 2026-02-06

## TL;DR

A rare case of pelvic splenosis was diagnosed and treated using laparoscopic methods in a patient with a history of splenectomy.

## Contribution

This case highlights the importance of considering splenosis in the differential diagnosis of pelvic masses after splenic trauma or surgery.

## Key findings

- Pelvic splenosis was diagnosed via laparoscopic exploration and biopsy.
- Laparoscopic techniques are effective for diagnosing abdominal splenosis.
- Splenosis should be considered in patients with unexplained pelvic masses and a history of splenic injury.

## Abstract

Splenosis refers to the heterotopic autotransplantation of splenic tissue to various anatomical sites, most commonly following splenic trauma or splenectomy. We report a rare case of pelvic splenosis in a female patient, eight years after a car accident and splenectomy, who presented with lower abdominal pain and infertility without improvement. Laparoscopic exploration revealed ectopic splenic tissue, and the diagnosis was confirmed by biopsy. Pelvic splenosis should be considered in the differential diagnosis of unexplained pelvic or abdominal masses in patients with a history of splenic injury or surgery. Laparoscopic exploration and biopsy are very important tools for the diagnosis of abdominal splenosis.

## Full-text entities

- **Genes:** CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}
- **Diseases:** spleen (MESH:D013160), lymphoma (MESH:D008223), bowel lesions (MESH:D015212), abdominal lymphadenopathy (MESH:D000007), splenic injury (MESH:D013158), tuberculosis (MESH:D014376), colonic (MESH:D003108), intra-abdominal bleeding (MESH:D000082122), metastasis (MESH:D009362), abnormal uterine bleeding (MESH:D014592), pelvic pain (MESH:D017699), dyspareunia (MESH:D004414), infertility (MESH:D007246), hemorrhage (MESH:D006470), rib fractures (MESH:D012253), trauma (MESH:D014947), inflammatory (MESH:D007249), nodule (MESH:D016606), hemothorax (MESH:D006491), endometriosis (MESH:D004715), car accident (MESH:C566176), malignancy (MESH:D009369), abdominal pain (MESH:D015746), splenic rupture (MESH:D013161), pubic bone fracture (MESH:C566735), ecchymosis (MESH:D004438), Pelvic splenosis (MESH:D017890)
- **Chemicals:** H&amp;E (MESH:D006371)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12967790/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC12967790/full.md

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Source: https://tomesphere.com/paper/PMC12967790