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Updated: Sep 28, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Dark Streaks and Yellow Exudates: Pleuroscopic Clues in Recurrent Post-Traumatic Pleural Effusion
Ali Gohar1, Hafiz Muhammad Faisal Nadeem1, Rabbia Abbas1
1Department of Pulmonology and Sleep Medicine Lahore General Hospital Lahore Punjab Pakistan.
Abstract:
Thoracic splenosis is a well-documented yet clinically elusive sequela of combined splenic rupture and diaphragmatic trauma, classically presenting years after initial injury as unexplained pleural effusions or dark hypervascular pleural nodules. This case illustrates a critical diagnostic pitfall: small superficial forceps biopsies of suspected ectopic splenomas routinely harvest only the reactive fibrous capsule, yielding non-specific inflammatory histology that can obscure unconfirmed thoracic splenosis while requiring careful differentiation from tuberculous pleuritis and pleural malignancy.
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