Matonis L M, Luciano A A
Center for Reproductive Endocrinology and Infertility, New Britain General Hospital, CT 06050, USA.
Am J Obstet Gynecol. 1995 Sep;173(3 Pt 1):971-3. doi: 10.1016/0002-9378(95)90384-4.
Splenosis represents the autotransplantation of splenic tissue after splenic trauma or surgery. Characterized by bluish implants diffusely scattered throughout the peritoneal cavity, splenosis is frequently mistaken for endometriosis. A 19-year-old woman was referred for "extensive endometriosis" found at diagnostic laparoscopy by her gynecologist. After extensive resection of peritoneal, pelvic, and intestinal implants of typical and "atypical" endometriosis, the "atypical" endometriosis was reported by the pathologist to be splenosis. Because splenosis is not a pathologic process but may actually be beneficial to the patient, it is important to recognize splenosis and not confuse it with endometriosis, malignancy, or hemangioma.
脾组织自体移植是指脾外伤或手术后脾组织的自体移植。脾组织自体移植的特征是蓝色植入物弥漫性散布于整个腹腔，常被误诊为子宫内膜异位症。一名19岁女性因妇科医生在诊断性腹腔镜检查中发现“广泛的子宫内膜异位症”而前来就诊。在广泛切除典型和“非典型”子宫内膜异位症的腹膜、盆腔及肠道植入物后，病理学家报告称“非典型”子宫内膜异位症实际上是脾组织自体移植。由于脾组织自体移植并非病理过程，实际上可能对患者有益，因此识别脾组织自体移植并避免将其与子宫内膜异位症、恶性肿瘤或血管瘤相混淆非常重要。
