( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Hela Kchir*, Nouha Trad, Wassim Frikha, Dhilel Issaoui and Nadia Maamouri


Background: Peritoneal splenosis is a rare entity corresponding to an ectopic auto-transplantation of splenic tissue onto peritoneal cavity. It can be mistaken for carcinomatosis. History of splenectomy is fundamental to make the diagnosis as in our observation reported herein. Case presentation: It was the case of a 55-year-old man complaining of chronic constipation. He reported history of right heart failure and an emergency surgery following a road accident occurring during childhood. Physical examination was normal. There was no anomaly in biological assessment or in colonoscopy. However, abdominal ultrasound showed multiple hypoechoic peritoneal nodules evoking peritoneal carcinomatosis. Tumor markers were normal. Abdominal CT revealed the presence of multiple diffuse intra-peritoneal nodules of similar appearance, taking the contrast in a heterogeneous way at early arterial time with homogenization at portal time. What caught our attention in addition to these nodules was the absence of visualization of the spleen. On patient re-examination, he remembered that he had an emergency splenectomy following abdominal trauma caused by her accident when he was seven years. Thus, the diagnosis of peritoneal splenosis was strongly evoked but surgical biopsies were impossible. An abdominal CT control realised six months later, showed an absolute stability of the aspect of peritoneal nodules confirming thus the diagnosis of peritoneal splenosis basing besides on the powerful argument of history of splenectomy. Conclusion: Our observation points out that peritoneal splenosis should always be suspected for any patient with a history of splenic trauma or splenectomy presenting with peritoneal nodules at imaging.

Keywords: Splenosis, carcinomatosis, splenectomy.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia