Harb Nathan, Fattore Julia, Saththianathan Mayuran, Parsons Stephen
Department of Thoracic Medicine St. Vincent's Hospital Sydney New South Wales Australia.
School of Clinical Medicine St Vincent's Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney Sydney New South Wales Australia.
Respirol Case Rep. 2024 Nov 21;12(11):e70067. doi: 10.1002/rcr2.70067. eCollection 2024 Nov.
Thoracic splenosis is a rare condition referring to the auto-transplantation of splenic tissue into the thoracic cavity following splenic trauma. We present a case of thoracic splenosis in a 62-year-old man who at the age of 17 suffered three gunshot wounds to the posterior thorax and abdomen, requiring a splenectomy and intercostal catheter insertion. In 2007, he underwent a thoracotomy and biopsy of a left sided pulmonary mass which was complicated by a haemothorax requiring an emergent return to theatre and rib resection to achieve haemostasis. The biopsy revealed granulation tissue. In 2023, Technetium-99m (Tc-99m) heat-damaged erythrocyte scintigraphy confirmed the diagnosis of thoracic splenosis. This case highlights the importance of recognizing this uncommon condition to prevent unnecessary investigation, as well as the use of Tc-99m heat-damaged erythrocyte scintigraphy to confirm the diagnosis.
胸腔脾组织自体移植是一种罕见的病症，指的是脾脏组织在脾脏创伤后自体移植到胸腔。我们报告一例62岁男性胸腔脾组织自体移植病例，该患者17岁时后胸部和腹部遭受三处枪伤，需要进行脾切除术和肋间导管插入术。2007年，他接受了开胸手术及左侧肺部肿块活检，术后并发血胸，需要紧急返回手术室并进行肋骨切除以止血。活检显示为肉芽组织。2023年，锝-99m（Tc-99m）热损伤红细胞闪烁扫描术确诊为胸腔脾组织自体移植。该病例凸显了认识这种罕见病症以避免不必要检查的重要性，以及利用Tc-99m热损伤红细胞闪烁扫描术来确诊的重要性。
