El-Helou E, Alimoradi M, Sabra H, Ghoussoub Y, Zaarour Mariana, Abousleiman Gaby
Lebanese University, Faculty of Medical Sciences, Mount Lebanon, Lebanon.
Saint Charles Hospital, Mount Lebanon, Lebanon.
Ann R Coll Surg Engl. 2020 Nov;102(9):e1-e3. doi: 10.1308/rcsann.2020.0131. Epub 2020 Jun 8.
Splenosis is the autotransplantation of splenic tissue into abnormal locations due to trauma or iatrogenically. Usually, this causes no symptoms, but in rare cases the mass effect of the transplanted nodules can cause small bowel obstruction. Resection of the culprit splenic tissue is recommended, but not more extensive dissection of non-involved nodules. Our patient presented at 43 years of age with abdominal pain, distention and bilious vomiting. He had undergone a splenectomy at the age of 13 years due to splenic rupture after a motor vehicle collision. Computed tomography demonstrated a small bowel obstruction with multiple nodules suspicious of splenosis. The obstructing mass and compromised bowels. were resected. Final pathology confirmed the diagnosis. Splenosis is an uncommon aetiology of small bowel obstruction and must be considered in patients who had previous splenic trauma or surgery.
脾组织自体移植是指由于外伤或医源性原因导致脾组织移植到异常部位。通常情况下，这不会引起症状，但在极少数情况下，移植结节的占位效应可导致小肠梗阻。建议切除有问题的脾组织，但不要对未受累的结节进行更广泛的剥离。我们的患者43岁，出现腹痛、腹胀和胆汁性呕吐。他13岁时因机动车碰撞后脾破裂接受了脾切除术。计算机断层扫描显示小肠梗阻，有多个结节，怀疑为脾组织自体移植。梗阻性肿块和受损肠段被切除。最终病理证实了诊断。脾组织自体移植是小肠梗阻的一种罕见病因，既往有脾外伤或手术史的患者必须考虑到这一病因。
