Farrés M T, Grabenwöger F, Dock W, Klepetko W
Zentrales Institut für Radiodiagnostik, Universitätsklinik Wien.
Radiologe. 1989 Oct;29(10):527-30.
Intrathoracic splenosis is an unusual event after diaphragmatic and splenic rupture, which causes intrathoracic mass lesions. It results from spontaneous autotransplantation of splenic tissue to serous surfaces. On chest X-rays, three different radiological appearances were distinguished: pulmonary mass lesions, pleural lesions and mediastinal tumors. Since the radiological appearance is nonspecific, a diagnosis may only be suspected together with the characteristic anamnesis. In those case scintigraphy should be performed because this method may verify the diagnosis. Here we report the radiological and clinical appearances of this entity by one of our own and 13 well-documented cases in the literature.
胸腔内脾组织异位是膈和脾破裂后的一种罕见情况,可导致胸腔内肿块病变。它是脾组织自发自体移植到浆膜表面所致。在胸部X线片上,可区分出三种不同的放射学表现:肺部肿块病变、胸膜病变和纵隔肿瘤。由于放射学表现不具特异性,只有结合特征性病史才可能怀疑诊断。在这些病例中应进行闪烁扫描,因为这种方法可证实诊断。在此,我们通过1例我们自己的病例以及文献中13例记录完整的病例报告了该病症的放射学和临床表现。