Diagnosis of multiple splenosis in right thorax and retroperitoneum: a case report and literature review

نویسندگان

  • Yuwei Tian
  • Qingfeng Jiang
  • Ke Li
  • Quan Shen
  • Fangfang Guo
  • Fangfang Fu
  • Cuiyun Chen
  • Huanzhou Xue
چکیده

Ectopic spleen is an autotransplantation of splenic tissue after traumatic rupture of the spleen or a splenectomy. Clinically, since most splenosis patients have no obvious symptoms and the condition is usually detected during accidently physical examination. Splenosis is easy to be misdiagnosed as a tumor, leading to unnecessary surgical treatment. Multiple splenosis growing in the right thorax and retroperitoneum is very rare. In this study, we report on the first case of combined thoracic and retroperitoneal splenosis in a 42-year-old male who was involved in a traffic accident 35 years ago. Multiple splenosis in the right thorax and retroperitoneum were accidentally detected by ultrasound examination. Histopathological examinations of the nodules resulted in obvious red pulp and white pulp structures. The imaging results and histopathological examinations collectively supported the diagnosis of combined thoracic and retroperitoneal splenosis. The purpose of this article is to share the experience of multiple splenosis diagnosis in the right thorax and retroperitoneum. We also review the literature of retroperitoneal splenosis in order to improve the understanding of splenosis and avoid unnecessary surgery in the future.

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تاریخ انتشار 2016