Papakonstantinou Evangelia, Kalles Vasileios, Papapanagiotou Ioannis, Piperos Theodoros, Karakaxas Dimitrios, Bonatsos Vasileios, Tsoumakas Konstantinos, Orfanos Filotheos, Mariolis-Sapsakos Theodoros
Department of Surgery, Evgenideion Hospital, University of Athens, P. Perimeni 1-2, Nea Smyrni, 17121 Athens, Greece.
Case Rep Surg. 2013;2013:454321. doi: 10.1155/2013/454321. Epub 2013 Jan 15.
Splenosis is a common benign condition that occurs after splenic rupture via trauma or surgery. The mechanism behind splenic cell autotransplantation begins with the splenic rupture, either from trauma or surgical removal. Splenosis is usually found incidentally and, unless symptomatic, surgical therapy is not indicated. Subcutaneous splenosis is an extremely rare form of splenosis, mostly observed in abdominal surgical scars. We report a case of subcutaneous splenosis, as well as a comprehensive review of the literature. In our case, a 43-year-old woman who had splenectomy after traumatic splenic rupture at the age of 7 years old presented for plastic reconstruction of her postoperative scar. Upon surgery, two asymptomatic subcutaneous nodules were incidentally discovered. The presence of splenic tissue was confirmed by the histological study. The nodules were not excised, as the patient was not symptomatic.
脾组织自体移植是一种常见的良性病症，发生于脾脏因外伤或手术破裂之后。脾细胞自体移植背后的机制始于脾脏破裂，其原因可以是外伤或手术切除。脾组织自体移植通常是偶然发现的，除非出现症状，否则不建议进行手术治疗。皮下脾组织自体移植是脾组织自体移植的一种极其罕见的形式，大多在腹部手术瘢痕中观察到。我们报告一例皮下脾组织自体移植病例，并对相关文献进行全面综述。在我们的病例中，一名43岁女性，7岁时因外伤性脾破裂接受了脾切除术，此次因术后瘢痕整形前来就诊。手术时，偶然发现了两个无症状的皮下结节。组织学研究证实存在脾组织。由于患者没有症状，所以未切除这些结节。
