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Related Experiment Videos

Thoracic splenosis; from a thoracoscopic viewpoint

Y Tsunezuka1, H Sato

  • 1Department of Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|March 21, 1998
PubMed
Summary
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Thoracic splenosis, a rare condition following splenic and diaphragmatic injury, presented as pulmonary masses. Video-assisted thoracoscopic resection successfully diagnosed this case of thoracic splenosis.

Area of Science:

  • Medicine
  • Surgery
  • Pathology

Background:

  • Thoracic splenosis is an uncommon condition characterized by the presence of splenic tissue within the thoracic cavity.
  • It typically occurs secondary to trauma involving the spleen and diaphragm.

Observation:

  • A patient presented with left pulmonary masses detected on a routine chest X-ray.
  • Initial investigations, including radiographic findings and needle biopsy, could not definitively rule out malignancy.
  • The masses were suspected to be ectopic splenic tissue.

Findings:

  • Video-assisted thoracoscopic surgery (VATS) was performed for diagnosis and resection.
  • Histopathological examination of the resected tissue confirmed the presence of splenic tissue, establishing the diagnosis of thoracic splenosis.

Related Experiment Videos

  • This is the first reported case of thoracic splenosis diagnosed via VATS.

    • Implications:

    • VATS is an effective minimally invasive approach for diagnosing and treating thoracic splenosis.
    • Understanding the potential pathways of splenic tissue dissemination, such as the costophrenic recess, is crucial for diagnosis.
    • This case highlights the importance of considering rare diagnoses in the differential of pulmonary masses, especially in patients with a history of relevant trauma.