Inflammatory Pseudotumor of the Spleen: A Case Report and Literature Review

Abstract

We report a rare case of inflammatory pseudotumor (IPT) of the spleen occurred in a 28-year-old woman admitted to our hospital for left upper quadrant and epigastrium discomfort. There were no constitutional signs and laboratory findings were unremarkable. Serum oncologic markers were within ranges. A ultrasonography of the abdomen showed a solitary hypoechoic nodule within the spleen. A MRI confirmed location and morphology of the lesion. A colonoscopy and a chest X-ray were performed to rule out the presence of a primary malignancy located at other sites, but nothing relevant was found. Histological characterization with fine needle aspiration of the nodule was not performed to avoid the risk of uncontrollable bleeding and potential tumor seeding. In the suspect of a malignancy the patient underwent splenectomy. Subsequent pathologic examination of the resected organ revealed an IPT. Splenectomy resulted diagnostic and curative.




J Med Cases. 2013;4(2):75-79
doi: https://doi.org/10.4021/jmc926w