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Hellenic Journal of Surgery

, Volume 90, Issue 1, pp 52–54 | Cite as

Inflammatory Pseudotumor of the Spleen

  • G Chatzoulis
  • Ioannis Passos
  • K Ioannidis
  • C Georgopoulos
  • P Spyridopoulos
Case Report
  • 9 Downloads

Abstract

Background and Aims

Evaluation of effectiveness in the differential diagnosis of the very rare entity of inflammatory pseudotumor (IPT) of the spleen, with presentation of its pathology and pathogenicity.

Methods

The case is presented of a 60-year-old female who underwent ultrasound (US) examination of the upper abdomen, after an accidental fall from a height, which revealed a splenic mass. Meticulous clinical and laboratory examination and imaging confirmed the presence of the splenic mass, which mimicked malignant lymphoma.

Results

Splenectomy was performed and the histopathology report revealed a tumor consisting of inflammatory cells intermingled with spindle and mast cells, consistent with the diagnosis of IPT.

Conclusions

IPTs are very rare benign tumors which mimic other benign or malignant tumors. The clinical diagnosis is difficult, but they have a very good prognosis. Surgeons should be aware of the condition in order to avoid misdiagnosis and inappropriate treatment.

Keywords

Spleen inflammatory pseudotumor laparoscopic splenectomy diagnostic evaluation 

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Copyright information

© Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • G Chatzoulis
    • 1
  • Ioannis Passos
    • 2
  • K Ioannidis
    • 1
  • C Georgopoulos
    • 3
  • P Spyridopoulos
    • 4
  1. 1.Consultant General Surgeon, 1st Department of SurgeryThessalonikiGreece
  2. 2.General Surgery Resident, 1st Department of SurgeryThessalonikiGreece
  3. 3.Haematologist, Director of the Haematology DepartmentThessalonikiGreece
  4. 4.General Surgeon, Director of the 1st Department of Surgery 424 General Military HospitalThessalonikiGreece

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