493 ectopic spleen transplantation

Su Yangzai carefully read the information brought by Li Haiyang.

In fact, when he first asked for a consultation, he had a rough idea, but he was still not sure, so he read all his information and after reading it, he was basically diagnosed.

Since he gained master-level hepatobiliary surgery experience, his diagnostic ability has been improved in all aspects. Although he only gained experience in hepatobiliary surgery, if he wants to do a good job in hepatobiliary surgery, he must have a deep understanding and understanding of other aspects. In addition, he has been diligent and has always been self-taught. He has learned a lot of things from the same things and has learned everything at once.

After reading it, he looked up at Li Haiyang and said, "Captain Li, I judge that you are not a tumor."

"Not a tumor?" Li Haiyang was stunned, then stood up: "Really, Director, isn't a tumor?"

Su Yang nodded and said seriously: "Ninety-five percent sure, but another examination is needed to confirm again. Moreover, even if it is not a tumor, he has to undergo a minor operation to remove him!"

"As long as it is not a tumor, it is good! As long as it is not a tumor, it is good! Thank you Director! Thank you Director!" Li Haiyang cried with joy.

A man in his forties is crying like a child.

Others may not understand Li Haiyang's stubbornness and obsession, but Su Yang understands it.

Li Haiyang was brave enough to join the army, stabbed by a criminal, and had his spleen cut. This is very amazing. It is precisely because of that incident that he was awarded the second-class merit, the conscript ended and successfully transferred to a non-commissioned officer, and took root in the army step by step. Over the years, he has been diligent, down-to-earth, serious, and honest. He is a good person of standard significance. However, if he is a good person for a lifetime, he is diagnosed with cancer. Incurable disease, his personal future is ruined, and his family collapses. This will be devastating to his outlook on life and values. He may even doubt whether he did it right or wrong before, but if he was not cancer, then... everything before will be meaningful!

So Su Yang could understand Li Haiyang’s thoughts.

Therefore, when drawing this diagnostic conclusion, he was still very careful and cautious.

He watched the films brought by the other party seriously.

The film was taken a month ago and was subjected to a CT scan and enhanced scanning of the abdomen.

Tip: The soft tissue shadow is located in the tail of the pancreas and the front of the left kidney, except for the place-occupying lesions.

"Director, then what's the problem with me?" After coming to his senses, Li Haiyang wiped his tears and asked.

"It should be autologous ectopic spleen transplantation!"

Autologous ectopic spleen transplantation?

What the hell is this?

Li Haiyang was stunned and confused.

Su Yang smiled and explained softly: "The name sounds scary, but it is not serious and not complicated. Didn't you have a spleen removal when you first joined the army? Simply put, it was a little careless during the operation, and a small piece of the cut spleen fell into your stomach, and then he grew up slowly and became what he is now."

"What you mean is that the falling spleen, like a seed, takes root and sprout in my stomach, and then grows and grows, and finally grows like this." Li Haiyang widened his eyes and asked in surprise.

"You can understand this way."

"..." Li Haiyang was stunned when he heard this.

Is this kind of thing still true or false?

This is incredible.

But Su Yang did not say anything randomly. This is true. This is the case with autologous ectopic spleen transplantation.

Spleen transplantation refers to the phenomenon of ectopic transplantation and regeneration of spleen tissue caused by spleen trauma or splenectomy, also known as autologous ectopic spleen transplantation, esat.

In 1910, von   -kutner    The first time during an autopsy was a spleen rupture after trauma, it caused intraperitoneal spleen transplantation lesions.

The probability of spleen implantation in patients with traumatic spleen rupture is about 76%, while the probability of spleen implantation in the chest cavity in patients with diaphragm is about 18%.

Since most spleen transplant patients have no clinical symptoms and have few reported cases, there is no definite statistics on the overall incidence in the population.

Spleen transplantation is more common in young men, which may be related to the more likely implantation of "young" spleen cells in this type of patient, or is related to the greater probability of trauma and spleen rupture in young men.

Spleen implants can be seen in many parts of the human body, the most common one is the abdominal cavity, mostly located on the serosal surface of the gastrointestinal tract, the peritoneum, mesangium and diaphragm. When the patient has joint injuries to the chest and abdomen, spleen implants can also occur in the chest, subcutaneous, pleura and even pericardial.

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The mechanism of spleen transplantation is not yet clear. Since it often occurs after traumatic spleen rupture or splenectomy, it is speculated that broken spleen tissue overflows into the adjacent cavity. Some scholars also believe that broken spleen tissue enters the blood and is implanted to the corresponding part through blood circulation. It is speculated that spleen transplantation in the brain and intrahepatic is produced through the second mechanism.

Routine imaging examinations, such as x-ray, ultrasound, ct, etc., have certain value for the diagnosis of spleen implantation, but are not specific.

Therefore, after the local hospital saw the CT image, it was determined to be a tumor.

Su Yang's ability is much higher, so through careful analysis, he basically concluded that the other party was spleen transplantation.

But if you want to confirm the diagnosis, you have to do another examination, and in the end you still have to do a pathological examination.

However, Su Yang's words at least gave the other party a reassurance.

Recent studies have suggested that spleen imaging using 99mtc-labeled radiocolloids or thermally denaturated red blood cells is the "gold standard" in imaging diagnosis of spleen transplantation.

Spect/ct examination can integrate functional images with anatomical images, demonstrating its superiority in identifying lesions and localizing ectopic spleen tissue.

The spleen has the function of swallowing foreign foreign bodies in the blood and destroying aging and degenerative red blood cells. After radiocolloids are introduced into the body, about 5% to 10% of colloid particles are engulfed by mononuclear macrophages in the spleen, thereby developing the spleen; about 90% of radionuclide-labeled degenerative red blood cells are intercepted and engulfed by the macrophages of the myelin when flowing through the spleen, and are selectively retained in the spleen, thus showing the location, size, morphology and function of the spleen.

In the past, clinically confirmed spleen transplantation was mostly obtained through some invasive techniques for histopathological examinations, such as laparoscopy, surgical exploration, and fine needle aspiration cytology examination.

Currently, because of its unique display of spleen physiological functions, the nuclide spleen imaging can be used non-invasively for the diagnosis of ectopic spleen transplantation.
Chapter completed!