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Related Experiment Videos

Posttraumatic thoracic splenosis and chronic aortic pseudoaneurysm.

S A Fidvi1, S A Kroop, S A Klein

  • 1Department of Radiology, New York Medical College, Valhalla 10595, USA.

Journal of Thoracic Imaging
|October 19, 1999
PubMed
Summary

Thoracic splenosis, the displacement of splenic tissue to the chest, is rare. This case highlights its incidental detection decades after injury, confirmable with nuclear scintigraphy.

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Area of Science:

  • Medical imaging and diagnostics
  • Surgical pathology
  • Thoracic surgery

Background:

  • Thoracic splenosis involves splenic tissue autotransplantation into the pleural cavity, typically after trauma to the spleen and diaphragm.
  • It is an infrequently documented condition, posing diagnostic challenges due to its rarity.

Observation:

  • A case of intrathoracic splenosis was incidentally discovered in a patient with a chronic aortic pseudoaneurysm.
  • Both conditions were identified three decades after the initial traumatic event.

Findings:

  • The diagnosis of thoracic splenosis can be noninvasively confirmed using technetium-99m sulfur colloid nuclear scintigraphy.
  • This imaging technique allows for definitive identification of ectopic splenic tissue.

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Implications:

  • This case underscores the importance of considering thoracic splenosis in patients with a history of thoracoabdominal trauma, even after a long latency period.
  • Noninvasive diagnostic methods like nuclear scintigraphy are crucial for accurate and timely diagnosis, potentially avoiding unnecessary invasive procedures.