Ectopic splenic autotransplantation following traumatic injury: A case report

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'...

Full description

Saved in:
Bibliographic Details
Published in:Experimental and therapeutic medicine 2015-11, Vol.10 (5), p.1973-1975
Main Authors: ZHANG, JINHE, YIN, JILIN, WANG, XINLU, LING, YINGCHEN, QUAN, JIANGTAO
Format: Article
Language:English
Subjects:
Abdomen
Care and treatment
Case reports
Complications and side effects
Development and progression
Gallstones
Health aspects
Laboratories
Medical imaging
Metabolism
nuclide imaging
Pancreatitis
Patient outcomes
spleen transplantation
wandering spleen
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2015.2732