{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:42:42Z","timestamp":1762868562523,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,17]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>A 58-year-old asymptomatic woman was referred to our gynecologic oncology unit for the management of a left adnexal mass found during a routine gynecologic examination. Her personal history included an emergency splenectomy at the age of 4 years old, following traumatic splenic laceration after a car accident. The patient\u2019s work-up (including transvaginal ultrasound and MRI) confirmed a pelvic solid mass, which was reported as suspicious for malignancy and classified as Ovarian-Adnexal Reporting &amp; Data System-MRI 5. An exploratory laparoscopy was performed, showing a reddish blue lesion located at the left broad ligament. Histologic analysis showed the presence of splenic tissue and normal adnexa. The postoperative follow-up was uneventful.<\/jats:p>\n               <jats:p>Pelvic splenosis is a challenging diagnosis rarely made preoperatively due to concern for malignancy. In the presence of a pelvic mass, the collection of a detailed patient\u2019s history, including information about previous splenic rupture, might raise suspicion for pelvic splenosis.<\/jats:p>","DOI":"10.1136\/bcr-2021-243505","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T12:50:32Z","timestamp":1626180632000},"page":"e243505","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pelvic splenosis mimicking a suspicious adnexal mass"],"prefix":"10.1136","volume":"14","author":[{"given":"Clarisse","family":"Peter","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Gynaecology and Obstetrics, H\u00f4pitaux Universitaires Gen\u00e8ve, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Christophe","family":"Tille","sequence":"additional","affiliation":[{"name":"Pathology and Immunology, University Hospitals Geneva, Geneve, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diomidis","family":"Botsikas","sequence":"additional","affiliation":[{"name":"Division of Radiology, University Hospitals Geneva, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Petignat","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Gynaecology and Obstetrics, H\u00f4pitaux Universitaires Gen\u00e8ve, Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,13]]},"reference":[{"key":"2025082710594747000_14.7.e243505.1","doi-asserted-by":"crossref","DOI":"10.1007\/s00464-001-8180-0","article-title":"Splenosis after laparoscopic splenectomy","volume":"15","author":"Losanoff","year":"2001","journal-title":"Surg 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