Sánchez-Paniagua Inés, Baleato-González Sandra, García-Figueiras Roberto
Radiodiagnóstico, Complejo Hospitalario Universitario de Santiago, ESPAÑA.
Rev Esp Enferm Dig. 2016 Jan;108(1):40-1.
Splenosis is defined as the location of heterotopic splenic tissue implants in the abdominal cavity or other atypical location. This entity may mimic different benign and malignant processes, which may cause an inappropriate management of the patient. A previous history of splenic trauma or splenectomy should introduce this entity in the differential diagnosis in these patients.
Clinical features and imaging findings of two cases of splenosis are presented and a review of the published literature on this entity is made.
Based on the behavior of the lesions in different imaging techniques and taking into account the relevant history of previous splenectomy, it was possible to establish the final diagnosis of intraabdominal splenosis.
Splenosis is an entity that should be considered in the differential diagnosis in patients with prior history of splenectomy and/or spleen trauma to avoid improper handling of them. Imaging techniques are key tools in non-invasive diagnosis of this entity.
脾组织异位是指腹腔或其他非典型部位存在异位脾组织植入。该病症可能类似不同的良性和恶性病变,这可能导致对患者的不当处理。有脾外伤或脾切除术病史的患者,在鉴别诊断时应考虑到这一病症。
介绍了两例脾组织异位的临床特征和影像学表现,并对该病症的已发表文献进行了综述。
根据不同成像技术中病变的表现,并考虑到既往脾切除术的相关病史,得以确诊腹腔内脾组织异位。
对于有脾切除术和/或脾外伤病史的患者,在鉴别诊断时应考虑脾组织异位,以避免对其处理不当。成像技术是该病症无创诊断的关键工具。