Prosch Helmut, Oschatz Elisabeth, Pertusini Esther, Mostbeck Gerhard
Department of Radiology, Otto Wagner Hospital, Vienna, Austria.
J Thorac Imaging. 2006 Aug;21(3):235-7. doi: 10.1097/01.rti.0000213551.16011.76.
We report on a 56-year-old woman with a history of splenectomy and surgery of the left hemidiaphragm, who presented with multiple pleural and mediastinal mass lesions. On the basis of the patient's history of splenectomy and missing Howell-Jolly bodies in peripheral blood smears, splenosis was suspected. To confirm the presumptive diagnosis, ferumoxides-enhanced magnetic resonance was performed. As all lesions showed a pronounced signal loss on T2* sequences, the diagnosis of splenosis was made and was further confirmed by scintigraphy. The reported case illustrates that ferumoxides-enhanced magnetic resonance imaging may be a helpful tool for the evaluation of suspected splenosis.
我们报告了一名56岁女性，有脾切除术和左半膈肌手术史，出现多处胸膜和纵隔肿块病变。基于患者的脾切除病史以及外周血涂片未见豪-焦小体，怀疑存在脾组织植入。为确诊初步诊断，进行了超顺磁性氧化铁增强磁共振检查。由于所有病变在T2*序列上均显示明显信号缺失，从而诊断为脾组织植入，并通过闪烁扫描进一步证实。该病例表明，超顺磁性氧化铁增强磁共振成像可能是评估疑似脾组织植入的有用工具。
