Ferraz R, Miranda J, Vieira M M, Carlos Mota J
Serviço de Cirurgia Cardio-torácica e de Anestesiologia do Centro Hospitalar de Vila Nova de Gaia, Espinho.
Rev Port Cir Cardiotorac Vasc. 2010 Jul-Sep;17(3):153-5.
Thoracic splenosis is a rare clinical condition consisting in the heterotopic autotransplantation of pieces of splenic tissue into the chest, following a previous trauma, with spleen and diaphragm laceration. In this paper, the authors report the clinical case of a thoracic splenosis in a 26 years old male, who had suffered a severe thoraco-abdominal trauma in childhood, leading to an emergency splenectomy. The patient, with the previous diagnosis of malignancy, namely pleural fibrotic tumors, underwent surgical management for removal of some nodular tumors of the pleura. Pathological studies confirmed the diagnosis of thoracic splenosis. The clinical diagnosis of thoracic splenosis should be suspicious facing asymptomatic patients, with a history of previous thoraco-abdominal trauma and nodular peripheral tumors in the chest x-rays.
胸腔内脾组织异位种植是一种罕见的临床病症,是指先前因外伤导致脾脏和膈肌撕裂后,脾脏组织碎片异位自体移植至胸腔。本文作者报告了一例26岁男性胸腔内脾组织异位种植的临床病例,该患者童年时曾遭受严重胸腹外伤,接受了急诊脾切除术。该患者先前被诊断为恶性肿瘤,即胸膜纤维瘤,接受了手术治疗以切除胸膜上的一些结节状肿瘤。病理研究证实了胸腔内脾组织异位种植的诊断。对于无症状患者,若有胸腹外伤史且胸部X光显示有周边结节状肿瘤,应怀疑胸腔内脾组织异位种植的临床诊断。