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Case Reports in Surgery
Volume 2013, Article ID 454321, 5 pages
http://dx.doi.org/10.1155/2013/454321
Case Report

Subcutaneous Splenosis of the Abdominal Wall: Report of a Case and Review of the Literature

Department of Surgery, Evgenideion Hospital, University of Athens, P. Perimeni 1-2, Nea Smyrni, 17121 Athens, Greece

Received 17 November 2012; Accepted 28 December 2012

Academic Editors: D. J. Bentrem, J. D. Gates, and M. L. Quek

Copyright © 2013 Evangelia Papakonstantinou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Splenosis is a common benign condition that occurs after splenic rupture via trauma or surgery. The mechanism behind splenic cell autotransplantation begins with the splenic rupture, either from trauma or surgical removal. Splenosis is usually found incidentally and, unless symptomatic, surgical therapy is not indicated. Subcutaneous splenosis is an extremely rare form of splenosis, mostly observed in abdominal surgical scars. We report a case of subcutaneous splenosis, as well as a comprehensive review of the literature. In our case, a 43-year-old woman who had splenectomy after traumatic splenic rupture at the age of 7 years old presented for plastic reconstruction of her postoperative scar. Upon surgery, two asymptomatic subcutaneous nodules were incidentally discovered. The presence of splenic tissue was confirmed by the histological study. The nodules were not excised, as the patient was not symptomatic.