Marchant L K, Levine M S, Furth E E
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Abdom Imaging. 1995 Nov-Dec;20(6):518-20. doi: 10.1007/BF01256702.
We report a patient in whom barium studies and computed tomography revealed an intramural mass in the jejunum that consisted pathologically of ectopic splenic tissue. Because the patient had a prior splenectomy, the lesion probably represented splenosis rather than an accessory spleen. When intramural lesions are detected on barium studies in patients who have had prior abdominal trauma or splenectomy, 99mTc-tagged, heated-red blood cell scintigraphy may be performed to confirm the diagnosis, thereby eliminating the need for surgery in these patients.
我们报告了一名患者，其钡剂造影和计算机断层扫描显示空肠壁内有一肿块，病理检查显示为异位脾脏组织。由于该患者曾行脾切除术，此病变可能代表脾组织异位而非副脾。对于曾有腹部外伤或脾切除术的患者，若钡剂造影发现壁内病变，可进行99mTc标记的热红细胞闪烁扫描以确诊，从而避免这些患者接受手术。
