Thoracic splenosis: Case report of a symptomatic case
Thoracic splenosis: Case report of a symptomatic case作者机构:Department of Cardiothoracic SurgeryUniversity Hospital CentreRennesFrance Department of Vascular SurgeryUniversity Hospital CentreRennesFrance Department of PneumologyUniversity Hospital CentreRennesFrance
出 版 物:《Chinese Journal of Traumatology》 (中华创伤杂志(英文版))
年 卷 期:2020年第23卷第3期
页 面:185-186页
核心收录:
学科分类:0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:Splenectomy Thoracic splenosis Splenic injury Diaphragmatic injury Pleural nodule
摘 要:Thoracic splenosis is the autotransplantation of splenic tissue in the left thoracic cavity as a result of a splenic injury. This rare pathology is usually asymptomatic and may be discovered on incidental imaging, but the diagnosis often requires invasive procedures such as surgery in order to eliminate a neoplasic origin. We report a rare symptomatic case of a 39-year-old man presenting with chest pain and multiple nodules revealed on a computed tomography scan. The patient underwent a surgical exploration and the pathological studies concluded to a thoracic splenosis. Indeed, the previous medical history of the patient revealed a left thoraco-abdominal traumatism during childhood. The aim of this paper is to emphasize that the diagnosis can now be performed using only imaging techniques such as technetium-99 sulfur colloid or labelled heat-denatured red blood cell scintigraphy to avoid unnecessary invasive procedures including thoracotomy.