PMC4620401_01
Abdominal X-ray shown in (a), depicting the number of shrapnel left in the left side of the body after the gunshot injury, in addition to dilated loops of bowel. CT scan with oral and intravenous contrast shows the splenosis deposit (white arrow) in axial (b) and coronal (c) views.
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fig1
A preoperative abdominal film showed the remaining gunshot shrapnel (Figure 1(a)), and a preoperative CT scan showed a transition point in the left upper quadrant and a small 2 x 3 cm hyperintense mass (Figures 1(b) and 1(c)).
H&E stained slides of the splenosis deposit showing splenosis architecture. Splenic nodules separated by strands of fibrous trabeculae (a). White and red pulp nodules are seen (b).
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fig2
The mass was resected off the mesentery and sent for pathology which showed that it consisted with a splenosis deposit with architecture of nodules of splenic tissue, surrounded by thick connective tissue trabeculae (Figure 2).