SPLENIC IMPLANT IN THE JEJUNUM - RADIOGRAPHIC AND PATHOLOGICAL FINDINGS

We report a patient in whom barium studies and computed tomography rev ealed an intramural mass in the jejunum that consisted pathologically of ectopic splenic tissue. Because the patient had a prior splenectomy , the lesion probably represented splenosis rather than an accessory s pleen. When intramural lesions are detected on barium studies in patie nts who have had prior abdominal trauma or splenectomy, Tc-99m-tagged, heated-red blood cell scintigraphy may be performed to confirm the di agnosis, thereby eliminating the need for surgery in these patients.