Gecikmi� diyafragma hernisi onar�m� s�ras�nda saptanan ve eski bir penetran torakoabdominal travma sonucu olu�mu� intratorasik splenozis

AKTEK�N, Ali; G�RLEY�K, G�nay; ARMAN, Alper; PEKCAN, H�seyin; SA�LAM, Abdullah

Cilt : 12 Say� : 1 Y�l : 2024

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Gecikmi� diyafragma hernisi onar�m� s�ras�nda saptanan ve eski bir penetran torakoabdominal travma sonucu olu�mu� intratorasik splenozis [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(1): 68-70

Gecikmi� diyafragma hernisi onar�m� s�ras�nda saptanan ve eski bir penetran torakoabdominal travma sonucu olu�mu� intratorasik splenozis

Ali AKTEK�N¹, G�nay G�RLEY�K¹, Alper ARMAN², H�seyin PEKCAN¹, Abdullah SA�LAM¹
¹Departments of Surgery Haydarpa�a Training and Research Hospital, �stanbul, Turkey.
²Departments of Radiology Haydarpa�a Training and Research Hospital, �stanbul, Turkey.

�ntratorasik splenozis, torakoabdominal bir yaralanmadan sonra g�r�len asemptomatik bir hastal�kt�r. G��s bo�lu�unda yer i�gal eden bir kitledir ve malign lezyonlar ba�ta olmak �zere di�er kitlelerden ay�rt edilmesi gerekir. Bu yaz�da, 25 y�l �nce ge�irilmi� penetran sol torakoabdominal travma �yk�s� olan ve klini�imize nonspesifik solunum sistemi �ikayetleriyle ba�vuran 50 ya��ndaki erkek hasta sunuldu. Akci�er grafisi ve toraks�n manyetik rezonans incelemeleri ile diyafragma hernisine ba�l� g��s bo�lu�unda kitle te�hisi koyulan hastada, ameliyat s�ras�nda intratorasik splenozis tespit edildi. Diyafram hasar�, dalak dokular� ��kar�ld�ktan sonra onar�ld�.

Anahtar Kelimeler: Kar�ni�i yaralanmalar; dalak; dalak ameliyat�; dalak y�rt��/cerrahi; tomografi, X-��n� komp�terize.

Intrathoracic splenosis secondary to previous penetrating thoracoabdominal trauma diagnosed during delayed diaphragmatic hernia repair

Although intraperitoneal splenosis is a very common disease, intrathoracic splenosis is very rare. It is generally an asymptomatic disease that occurs after thoracoabdominal trauma, and is diagnosed as an intrathoracic mass that leads to unnecessary investigations to be differentiated from other benign or malignant lesions of the chest. We present a patient with an intrathoracic mass which was preoperatively diagnosed as a diaphragmatic hernia on chest X-ray and magnetic resonance imaging. We have intraoperatively recognized that many pieces of splenic tissue have been herniated through a diaphragmatic defect, and formed intrathoracic splenosis. We repaired the diaphragmatic hernia defect after excision of fragments of the spleen.

Keywords: Abdominal injuries; spleen; splenectomy; splenic rupture/ surgery; tomography, X-ray computed.

Sorumlu Yazar: Ali AKTEK�N, T�rkiye
Makale Dili: �ngilizce

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