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[外伤性脾破裂后脾组织自体移植(外伤性脾种植)。4例报告]

[Autotransplantation of spleen tissue after traumatic spleen rupture (traumatic splenosis). A report of 4 cases].

作者信息

Böhm N, Wybitul K

出版信息

Chirurg. 1980 Mar;51(3):158-62.

PMID:7398485
Abstract

Report on 4 cases of traumatic splenosis (autotransplantation of splenic tissues) which were diagnosed 1 to 15 years after traumatic spleen rupture in childhood or adolescence. In 3 of the 4 cases traumatic splenosis was detected casually, the other case was misinterpreted during laparoscopy as endometriosis. Histologically the autotransplants reveal functional red and white splenic pulp. This may be significant for hematologic diseases. Although clinical signs are often lacking or noncharacteristic, knowledge of traumatic splenosis is important for surgeons, internists (laparoscopy!), gynecologists, and pathologists, because splenic autotransplantants are often misinterpreted as accessory spleens, hemangiomas, endometriosis or peritoneal metastases of melanoma.

摘要

关于4例创伤性脾种植(脾组织自体移植)的报告,这些病例是在儿童期或青春期脾破裂后1至15年被诊断出来的。4例中有3例创伤性脾种植是偶然发现的,另一例在腹腔镜检查时被误诊为子宫内膜异位症。组织学上,自体移植显示有功能的脾红髓和白髓。这可能对血液系统疾病具有重要意义。尽管通常缺乏临床症状或症状不具有特异性,但对于外科医生、内科医生(腹腔镜检查!)、妇科医生和病理学家来说,了解创伤性脾种植很重要,因为脾自体移植物常被误诊为副脾、血管瘤、子宫内膜异位症或黑色素瘤的腹膜转移。

相似文献

1
[Autotransplantation of spleen tissue after traumatic spleen rupture (traumatic splenosis). A report of 4 cases].[外伤性脾破裂后脾组织自体移植(外伤性脾种植)。4例报告]
Chirurg. 1980 Mar;51(3):158-62.
2
Splenosis mimicking endometriosis.酷似子宫内膜异位症的脾组织植入
Obstet Gynecol. 1982 Jun;59(6 Suppl):51S-3S.
3
Splenosis: report of a case and review of the literature.
Obstet Gynecol Surv. 1988 Feb;43(2):69-72.
4
[Spontaneous implantation of splenic tissue after traumatic rupture of the spleen. Report of a case of splenosis].
Arq Gastroenterol. 1986 Jan-Mar;23(1):36-41.
5
Splenosis on the right kidney and the diaphragmatic surface following traumatic rupture of the spleen.脾脏外伤性破裂后右肾及膈面出现脾组织自体移植。
Acta Chir Scand. 1981;147(8):721-4.
6
[Abdominal splenosis. Apropos of a case].[腹腔内脾组织异位。附一病例]
Schweiz Med Wochenschr. 1983 Feb 5;113(5):191-3.
7
[Post-traumatic hemoperitoneum: a rare complication of peritoneal splenosis].创伤后腹腔积血:脾组织腹腔植入的一种罕见并发症
Rev Clin Esp. 1991 Sep;189(4):175-7.
8
Mayer-Rokitansky-Kuster-Hauser syndrome with splenosis. A case report.
J Reprod Med. 1990 Aug;35(8):821-3.
9
Splenosis: autotransplantation of splenic tissue.脾组织自体移植:脾组织的自体移植。
Am J Med. 1976 Sep;61(3):414-9. doi: 10.1016/0002-9343(76)90380-6.
10
[Peritoneal splenosis. Report of a case and pathogenetic considerations].
Minerva Chir. 1989 Apr 30;44(8):1311-4.

引用本文的文献

1
Overwhelming infection after splenectomy in spite of some spleen remaining and splenosis. A case report.脾切除术后尽管仍残留部分脾脏及存在脾组织异位但发生严重感染。病例报告。
Klin Wochenschr. 1983 Nov 2;61(21):1075-9. doi: 10.1007/BF01496468.
2
[Fatal infection after splenectomy despite reimplantation of splenic tissue].
Klin Wochenschr. 1991 May 24;69(8):375-8. doi: 10.1007/BF02115789.