Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2020; 12(10): 435-441
Published online Oct 27, 2020. doi: 10.4240/wjgs.v12.i10.435
Gastric splenosis mimicking a gastrointestinal stromal tumor: A case report
Claudio Isopi, Giulia Vitali, Federica Pieri, Leonardo Solaini, Giorgio Ercolani
Claudio Isopi, Giulia Vitali, Leonardo Solaini, Giorgio Ercolani, Department of Surgery, Morgagni-Pierantoni Hospital, Forli 47121, Italy
Federica Pieri, Pathology Unit, Morgagni-Pierantoni Hospital, Forli 47121, Italy
Leonardo Solaini, Giorgio Ercolani, Department of Medical and Surgical Sciences, University of Bologna, Bologna 47100, Italy
Author contributions: Isopi C and Vitali G reviewed the literature and drafted the manuscript in consultation with Solaini L and Ercolani G; Isopi C and Vitali G are joint first authors; Pieri F performed the final pathology; Pieri F, Solaini L and Ercolani G critically revised the manuscript; All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Leonardo Solaini, MD, Assistant Professor, Department of Surgery, Morgagni-Pierantoni Hospital, Via Carlo Forlanini, 34, Forli 47121, Italy.
Received: June 30, 2020
Peer-review started: June 30, 2020
First decision: July 30, 2020
Revised: August 13, 2020
Accepted: September 14, 2020
Article in press: September 14, 2020
Published online: October 27, 2020
Processing time: 118 Days and 11.6 Hours
Core Tip

Core Tip: Intramural gastric nodules are rare, but all differential diagnoses must always be considered. If feasible, a preoperative fine needle aspiration can help the surgeon in selecting the best treatment option. Splenosis is uncommon in the general population, but it must be considered in each patient with a history of splenectomy (especially after trauma). In this specific cluster it is reasonable to insist on ruling out splenosis even making a second histologic sampling after a first failure.