Department of Radiology, Tabriz University of Medical Sciences, Imam Reza Hospital, Golbad Ave., Tabriz, East Azerbaijan, Iran.
Arch Iran Med. 2010 Sep;13(5):436-9.
We report a case of combined subcutaneous, intrathoracic, and abdominal splenosis who presented with attacks of flushing, tachycardia and vague abdominal pain. The patient's past medical history included a splenectomy due to abdominal trauma and years later, a lung lobectomy due to recurrent pneumonia. An enhancing solid mass adjacent to the upper pole of the left kidney and nodular pleural based lesions in the left hemi-thorax along with nodular lesions in subcutaneous tissue of the left chest wall suggested possible adrenal malignancy with multiple metastases. Histopathologic examination demonstrated benign lesions of ectopic splenic tissue.
我们报告一例合并皮下、胸腔和腹腔内脾组织异位症的病例,该患者表现为阵发性面红、心动过速和模糊腹痛。患者的既往病史包括因腹部外伤行脾切除术,数年后因反复发作性肺炎行左肺叶切除术。左肾上极旁增强实性肿块和左胸腔胸膜结节状病变以及左胸壁皮下结节状病变提示可能为肾上腺恶性肿瘤伴多发转移。组织病理学检查显示为异位脾组织的良性病变。