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表现为肺部占位性病变的胸腔脾组织植入

Thoracic splenosis presenting as pulmonary space-occupying lesion.

作者信息

Niu Yumeng, Liu Wenzhou, Xian Lei, Liu Tao, Huang Chusheng, Yang Shengzhuang

机构信息

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, No.166 Da Xuedong Road, Nanning, 530007, Guangxi, China.

出版信息

BMC Surg. 2018 Dec 20;18(1):119. doi: 10.1186/s12893-018-0461-9.

Abstract

BACKGROUND

Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported.

CASE PRESENTATION

We make a report on a case of intrapulmonary thoracic splenosis. A 44-year-old male patient underwent splenectomy due to a high fall accident injury in 2008. After ten years, thoracic splenosis were found in the lungs and chest wall. Clinical diagnosis was unidentified masses, benign tumor of lungs and chest wall. The radiological imaging was suggestive of the thoracic splenosis, After surgery, the diagnosis of thoracic splenosis was confirmed by pathological diagnosis.

CONCLUSIONS

Thoracic splenosis may occur after the injury to spleen and surgical treatment may not be the preferred method for asymptomatic or less symptomatic thoracic splenosis.

摘要

背景

脾脏离开其正常解剖位置而出现在其他部位,称为异位脾。最常见于腹部或盆腔,伴有腹膜、大网膜或肠系膜种植。有少数与创伤性膈肌破裂相关的胸腔脾组织植入病例报道。

病例介绍

我们报告一例肺内胸腔脾组织植入病例。一名44岁男性患者于2008年因高处坠落事故受伤行脾切除术。十年后,在肺部和胸壁发现胸腔脾组织植入。临床诊断为不明肿物、肺和胸壁良性肿瘤。影像学检查提示为胸腔脾组织植入,手术后经病理诊断确诊为胸腔脾组织植入。

结论

胸腔脾组织植入可能在脾脏损伤后发生,对于无症状或症状较轻的胸腔脾组织植入,手术治疗可能不是首选方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c975/6302502/529c6023621e/12893_2018_461_Fig1_HTML.jpg

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