Gürses B, Kabakçi N, Akşit H Z, Yencilek F, Kovanlikaya A, Kovanlikaya I
Department of Radiology, Yeditepe University Hospital, Istanbul, Turkey.
Australas Radiol. 2007 Oct;51 Spec No.:B52-5. doi: 10.1111/j.1440-1673.2007.01783.x.
Splenosis is a well-known entity, caused by autotransplantation of splenic tissue as a result of trauma or splenectomy. Patients are generally asymptomatic, and this entity is diagnosed during routine diagnostic imaging. Cystic changes in splenic implants have been defined before but, as to our knowledge, radiological demonstration of cystic components has not been published in the literature. It is well-known that unusual locations of the splenic implants create diagnostic problems, sometimes leading to unnecessary surgical interventions. In this report splenosis, mimicking a renal tumour, with cystic changes in the biggest splenule, and diagnosis with ferrumoxide-enhanced MRI is presented.
脾组织自体移植是一种众所周知的情况，由创伤或脾切除术后脾组织的自体移植引起。患者通常无症状，常在常规诊断成像过程中被诊断出来。此前已有关于脾植入物囊性改变的定义，但据我们所知，文献中尚未发表关于囊性成分的放射学表现。众所周知，脾植入物的异常位置会引发诊断问题，有时会导致不必要的手术干预。在本报告中，我们介绍了一例酷似肾肿瘤的脾组织自体移植病例，最大的脾小结节有囊性改变，并通过铁氧化物增强磁共振成像进行了诊断。
