Ectopic splenic autotransplantation following traumatic injury: A case report
- Authors:
- Jinhe Zhang
- Jilin Yin
- Xinlu Wang
- Yingchen Ling
- Jiangtao Quan
View Affiliations
Affiliations: Department of Nuclear Medicine, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong 510010, P.R. China, School of Bioscience and Bioengineering, South China University of Technology, Guangzhou, Guangdong 510010, P.R. China
- Published online on: September 7, 2015 https://doi.org/10.3892/etm.2015.2732
-
Pages:
1973-1975
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
A 41-year-old male patient was admitted to the General Hospital of Guangzhou Military Command due to upper abdominal pain persisting for 12 h. Computed tomography (CT) and positron emission tomography/CT scans revealed multiple soft‑tissue shadows in the abdominal cavity, peritoneum and Glisson's capsule, but the metabolic activity was at normal levels. A small area of low‑density shadows near the tail of the pancreas and multiple shadows of enlarged lymph nodes were identified around the porta hepatis and the pancreas, with a mildly increased metabolic activity. On the basis of the CT images the patient was diagnosed with pancreatitis. Radionuclide imaging showed the absence of the spleen from its normal position (following splenectomy), but abnormal phagocytosis of multiple red blood cells was observed in the abdomen, which was diagnosed as ectopic splenic autotransplantation (ESAT). The patient subsequently recovered well following symptomatic treatment. ESAT in trauma patients requires urgent surgery in order to remove the damaged spleen and artificially cultivate partial splenic tissue.
View References
1
|
Oda J, Tachikawa N and Suda T: A solid
mass in pelvic region. Gastroenterology. 137:e9–e10. 2009.
View Article : Google Scholar : PubMed/NCBI
|
2
|
Wallace S, Herer E, Kiraly J, Valikangas E
and Rahmani R: A wandering spleen: Unusual cause of a pelvic mass.
Obstet Gynecol. 112:478–480. 2008. View Article : Google Scholar : PubMed/NCBI
|
3
|
Fiquet-Francois C, Belouadah M, Ludot H,
et al: Wandering spleen in children: Multicenter retrospective
study. J Pediatr Surg. 45:1519–1524. 2010. View Article : Google Scholar : PubMed/NCBI
|
4
|
Bouassida M, Sassi S, Chtourou MF, et al:
A wandering spleen presenting as a hypogastric mass: Case report.
Pan Afr Med. J11:312012.
|
5
|
Di Crosta I, Inserra A, Gil CP, Pisani M
and Ponticelli A: Abdominal pain and wandering spleen in young
children: The importance of an early diagnosis. J Pediatr Surg.
44:1446–1449. 2009. View Article : Google Scholar : PubMed/NCBI
|
6
|
Dirican A, Burak I, Ara C, Unal B, Ozgor D
and Meydanli MM: Torsion of wandering spleen. Bratisl Lek Listy.
110:723–725. 2009.PubMed/NCBI
|
7
|
Tseng CA and Chou AL: Images in clinical
medicine. Pelvic spleen. N Engl J Med. 361:12912009. View Article : Google Scholar : PubMed/NCBI
|
8
|
Dillman JR and Strouse PJ: Clinical image.
The ‘wandering’ spleen. Pediatr Radiol. 40:2312010. View Article : Google Scholar : PubMed/NCBI
|