Intramural colonic splenosis: A rare case of lower gastrointestinal bleeding

Obokhare, Izi D., Beckman, Edwin, Beck, David E., Whitlow, Charles B. and Margolin, David A. (2012) Intramural colonic splenosis: A rare case of lower gastrointestinal bleeding. Journal of Gastrointestinal Surgery, 16 8: 1632-1634. doi:10.1007/s11605-012-1875-9

Author Obokhare, Izi D.
Beckman, Edwin
Beck, David E.
Whitlow, Charles B.
Margolin, David A.
Title Intramural colonic splenosis: A rare case of lower gastrointestinal bleeding
Journal name Journal of Gastrointestinal Surgery   Check publisher's open access policy
ISSN 1091-255X
Publication date 2012-08
Sub-type Article (original research)
DOI 10.1007/s11605-012-1875-9
Volume 16
Issue 8
Start page 1632
End page 1634
Total pages 3
Place of publication New York, NY, United States
Publisher Springer
Collection year 2013
Language eng
Formatted 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.
Keyword Intramural colonic splenosis (ICS)
Lower gastrointestinal bleeding
Splenic trauma
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 27 March 2012.

Document type: Journal Article
Sub-type: Article (original research)
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