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Related Experiment Videos

Thoracic splenosis

J V O'Connor1, C C Brown, J K Thomas

  • 1Department of Surgery, Texas Tech Medical Center, Lubbock 79430, USA.

The Annals of Thoracic Surgery
|September 2, 1998
PubMed
Summary

Thoracic splenosis, a rare condition from splenic tissue in the chest after trauma, can be diagnosed using imaging. This aids in avoiding invasive surgery for patients with a history of thoracoabdominal injury.

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Area of Science:

  • Pathology
  • Thoracic Surgery
  • Radiology

Background:

  • Thoracic splenosis is a rare condition where splenic tissue implants in the pleural cavity.
  • It typically occurs following thoracoabdominal trauma, often in patients who have undergone splenectomy.

Observation:

  • A 45-year-old male with a history of splenectomy presented with a left lung mass.
  • Initial needle biopsy provided an inconclusive diagnosis, and thoracic splenosis was not suspected preoperatively.

Findings:

  • The diagnosis was considered during intraoperative frozen section and confirmed with permanent pathologic biopsy after thoracotomy.
  • This case highlights the diagnostic challenges of thoracic splenosis.

Implications:

  • A history of thoracoabdominal trauma is crucial for suspecting thoracic splenosis.
  • Radiologic and radionuclide imaging studies may help establish the diagnosis non-invasively, potentially avoiding thoracotomy.

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