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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
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Combined Intrathoracic and Abdominal Splenosis
Min Gyeong Choi1, Wongi Woo1, Joon Young Chang1
1Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
The American Journal of Case Reports
|November 27, 2022
Summary
Splenosis, the autotransplantation of splenic tissue, can rarely occur in the chest and abdomen after trauma. Accurate diagnosis requires thorough patient history and advanced imaging to avoid misinterpreting thoracic splenosis.
Area of Science:
- Medicine
- Radiology
- Pathology
Background:
- Splenosis involves splenic tissue autotransplantation post-splenic injury or splenectomy.
- Thoracic splenosis, a rare variant, arises from simultaneous diaphragm and spleen rupture due to trauma.
- Combined intrathoracic and abdominal splenosis cases are exceptionally infrequent.
Observation:
- A 50-year-old male with prior splenectomy presented with chest pain.
- Chest CT revealed a 1-cm pleural thickening, initially suspected as a solitary fibrous tumor.
- Post-surgical pathology confirmed splenic tissue, diagnosing thoracic splenosis.
Findings:
- Surgical removal of the pleural lesion confirmed it as ectopic splenic tissue.
- Abdominopelvic CT identified additional lesions consistent with intraperitoneal splenosis.
- This case highlights the diagnostic challenge of rare combined thoracic and abdominal splenosis.
Implications:
- Emphasizes the critical role of detailed patient history in diagnosing rare conditions like splenosis.
- Recommends utilizing advanced diagnostic tools, such as radionuclide imaging, for accurate thoracic splenosis diagnosis.
- Underscores the need to avoid misdiagnosis and unnecessary procedures by considering splenosis in relevant clinical contexts.
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