Thoracic splenosis: Case report of a symptomatic case

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Florent Le BarsSimon Rouzé

Abstract

Thoracic splenosis is the autotransplantation of splenic tissue in the left thoracic cavity as a result of a splenic injury. This rare pathology is usually asymptomatic and may be discovered on incidental imaging, but the diagnosis often requires invasive procedures such as surgery in order to eliminate a neoplasic origin. We report a rare symptomatic case of a 39-year-old man presenting with chest pain and multiple nodules revealed on a computed tomography scan. The patient underwent a surgical exploration and the pathological studies concluded to a thoracic splenosis. Indeed, the previous medical history of the patient revealed a left thoraco-abdominal traumatism during childhood. The aim of this paper is to emphasize that the diagnosis can now be performed using only imaging techniques such as technetium-99 sulfur colloid or labelled heat-denatured red blood cell scintigraphy to avoid unnecessary invasive procedures including thoracotomy.

References

Jun 22, 1978·The New England Journal of Medicine·H A PearsonR J Touloukian
Oct 1, 1993·AJR. American Journal of Roentgenology·J P NormandL Letourneau
Jul 21, 1998·The American Journal of Surgical Pathology·C H RickertF Gullotta
Nov 12, 2010·European Journal of Nuclear Medicine and Molecular Imaging·Cinzia CrivellaroClaudio Rossetti

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