PMC5397575_01
A mass and cord of linear tissue observed by laparoscopy. The cord of linear tissue stretching in the cranial direction adhered to the peritoneum. At the top of the adhesion, the linear tissue was separated from the peritoneum and stretched into the omentum towards the spleen. A 5-mm laparoscopic port is shown inserted at the left lateral region at the same level as the umbilicus. A reddish-purple mass was observed along the cord (red arrow).
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Two reddish-purple masses (Fig. 1, red arrow; Fig. 2, blue arrow) were identified along a cord of linear tissue, which extended toward the spleen in the cranial direction (Fig. 1) and adhered strongly to the peritoneum, passing transversely through the left internal inguinal ring caudally (Fig. 2, Fig. 3.
A second mass observed along the cord of linear tissue by laparoscopy. The cord of linear tissue extended from the reddish-purple mass (blue arrow) to the left internal inguinal ring.
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One of the masses (Fig. 2, Fig. 3, blue arrow) was located close to the left inguinal ring.
A cord of linear tissue extends from the mass. The cord of linear tissue extending from the mass (blue arrow) adhered strongly to the peritoneum (yellow arrows), and passed transversely across the peritoneum and through the internal inguinal ring (green arrows).
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Two reddish-purple masses (Fig. 1, red arrow; Fig. 2, blue arrow) were identified along a cord of linear tissue, which extended toward the spleen in the cranial direction (Fig. 1) and adhered strongly to the peritoneum, passing transversely through the left internal inguinal ring caudally (Fig. 2, Fig. 3.
The operative specimen. The mass measured 12 x 8 mm in diameter.
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The operative specimen was a 12 x 8 mm diameter mass (Fig. 4).
Histological examination of the mass. Hematoxylin and eosin staining of the surgically obtained mass indicated that it was surrounded by a capsule and comprised red pulp, white pulp and splenic trabeculae. (A) x12.5 magnification. (B) x100 magnification.
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Histological examination showed that the mass was surrounded by a capsule and comprised red and white pulp, and splenic trabeculae (Fig. 5), characteristic components of splenic tissue.