Department of Radiology, King's College Hospital, Denmark Hill, London, UK.
Eur Rev Med Pharmacol Sci. 2013 Nov;17(21):2853-6.
Splenosis represents the heterotopic autotransplantation of splenic tissue after a traumatic splenic rupture and splenectomy. It is not a rare condition and it is estimated to occur in up to 67% of patients with traumatic splenic rupture.
We report one case of patient, affected by non alcoholic steatohepatitis (NASH), with a hypervascularised liver lesion, that the final histological examination revealed hepatic splenosis. This is a rare condition that may be misinterpreted as adenoma or hepatocellular carcinoma (HCC). Imaging techniques and features that might contribute to the diagnosis and may avoid invasive treatment are also discussed. Although hepatic splenosis is a rare condition, this diagnosis should be considered in patients with previous history of abdominal trauma and then the diagnosis of splenosis may be confirmed by Tc-99m-DRBC scintigraphy, avoiding biopsy or further surgery.
脾组织在创伤性脾破裂和脾切除术后的异位自体移植称为脾种植。这并不是一种罕见的情况，据估计，在多达 67%的创伤性脾破裂患者中会发生这种情况。
我们报告了一例患有非酒精性脂肪性肝炎（NASH）的患者，其肝脏有一个血供丰富的病变，最终的组织学检查显示为肝脾种植。这是一种罕见的情况，可能被误诊为腺瘤或肝细胞癌（HCC）。我们还讨论了有助于诊断的成像技术和特征，并可避免侵袭性治疗。尽管肝脾种植是一种罕见的情况，但对于有腹部外伤史的患者，应考虑这种诊断，然后通过 Tc-99m-DRBC 闪烁扫描术来确认脾种植的诊断，避免活检或进一步手术。
