Thoracic splenosis: a case report and the importance of clinical history.

Journal of Korean Medical Science
Kyungeun KimJae Hee Suh

Abstract

We present a case of thoracic splenosis in a 42-yr-old man with a medical history of abdominal surgery for a penetration injury with an iron bar of the left abdomen and back. He had been in good condition, but a chest radiograph taken during a regular checkup showed a multinodular left pleura-based mass. Computed tomography (CT) showed that the mass was well-enhanced and homogeneous, indicating a sclerosing hemangioma. Following its removal by video-assisted thoracoscopic surgery, the mass appeared similar to a hemangioma, with marked adhesion to the left side diaphragmatic pleura and lung parenchyma. Frozen section showed that the lesion was a solid mass consisted with abundant lymphoid cells, suggesting a low grade lymphoma. On permanent section, however, the mass was found to be composed of white pulp, red pulp, a thick capsule and trabeculae and was diagnosed as ectopic splenic tissue, or thoracic splenosis. Review of the patient's history and chest CT at admission revealed that the patient had undergone a splenectomy for the penetration injury 20 yr previously.

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Citations

Apr 13, 2011·General Thoracic and Cardiovascular Surgery·Amir Maqbul KhanChang Shim
May 28, 2013·TheScientificWorldJournal·Adalet Elcin YildizMusturay Karcaaltincaba
Aug 4, 2015·Case Reports in Pulmonology·James Benjamin GleasonJonathan Ryan Schroeder
Jun 2, 2015·Respiratory Medicine Case Reports·Jagpal Singh KlairNikhil Meena
Apr 28, 2016·Journal of Cardiothoracic Surgery·Lubomír TulinskýPavel Zonča
Jun 30, 2018·Journal of Computer Assisted Tomography·Jerrin VargheseOmar Yaipen
Nov 13, 2014·Hormone Molecular Biology and Clinical Investigation·Anna Fenzl, Florian W Kiefer
Apr 13, 2017·World Journal of Surgical Oncology·Shuo-Meng XiaoXiang Zhou
Dec 24, 2018·BMC Surgery·Yumeng NiuShengzhuang Yang
Nov 1, 2013·The Journal of the American Osteopathic Association·Albert H O-YurvatiTessa N Woods
Apr 24, 2021·Clinical Imaging·Ravishankar Pillenahalli MaheshwarappaAmit Gupta

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Methods Mentioned

BETA
biopsy

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