Asymptomatic thoracic splenosis after thoracoabdominal trauma: establishing a diagnosis

Beekman, Richard A.; Louie, Brian E.; Singh, Ravinder; Salama, Samih; Miller, John D.

doi:10.1016/j.injury.2004.12.050

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…[3] In 1937, Shaw and Shafi [4] reported [5] Thus splenosis within the abdominal cavity is relatively common; however, occurrence outside the abdominal cavity is unusual. Thoracic splenosis can be suspected if the following factors are present: histories of trauma, splenic, and/or diaphragmatic injury.…”

Section: Discussionmentioning

confidence: 99%

Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma

Erol¹

2016

Turk Gogus Kalp Dama

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ÖZTorasik splenozis, dalak dokusunun sol hemitoraksa ototransplantasyonunu içeren, dalak ve sol hemidiyafragmanın eşzamalı rüptürü sonucu gelişen nadir bir durumdur. Bu yazıda, sırt ağrısı şikayeti nedeniyle muayene edilen ve akciğer grafisi ve göğüs bilgisayarlı tomografisinde malign olduğu değerlendirilen sol plevral nodülleri olan 61 yaşında bir kadın hasta sunuldu. Hastanın travmatik dalak ve sol diyafragma rüptürü öyküsü vardı. Nodüller için video yardımlı torakoskopik biyopsi uygulandı ve histolojik inceleme nodüllerin dalak dokusu olduğunu doğruladı. Torasik splenozis, sol tek plevral nodülü ya da multipl plevral nodülleri ve geçmişinde dalak ve sol diyafragma rüptürü olan hastalarda akılda tutulması gereken bir patolojidir.Anah tar söz cük ler: Splenozis; torasik; travma. ABSTRACTThoracic splenosis is a rare condition including autotransplantation of splenic tissue into the left hemithorax and resulting from simultaneous rupture of the spleen and left hemidiaphragm. In this article, we report a 61-yearold female patient examined due to back pain and who was found to have left pleural nodules in her chest X-ray and computed tomography which were considered to be malignant. Patient had a history of traumatic spleen and left diaphragm rupture. Video assisted thoracoscopic biopsy of the nodules was performed and histological examination confirmed the nodules as splenic tissue. Thoracic splenosis is a pathology which should be kept in mind in patients having a left solitary pleural nodule or multiple pleural nodules and a history of spleen and left diaphragm rupture.

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Section: Discussionmentioning

confidence: 99%

Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma

Erol¹

2016

Turk Gogus Kalp Dama

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“…Despite occasional reports of splenosis diagnosed only by nuclear medicine studies, some authors agree that definitive diagnosis requires cytologic or histologic examination [36,37]. Most authors have reported that fine-needle aspiration is of little utility, due to its low sensitivity [38].…”

Section: Thoracic Splenosismentioning

confidence: 99%

“…When less-aggressive techniques fail, surgery must be undertaken to rule out malignancy. Video-assisted thoracic surgery is a relatively recent adaptation of minimal-access surgery for the examination of pleural lesions [37].…”

Section: Thoracic Splenosismentioning

confidence: 99%

“…However, other studies identified normal circulating antibody levels and response to S. pneumonia antigens within normal limits [47]. In view of this controversy and the potential benefit of splenic nodules, some authors advocate removal of only a minimum of autotransplanted tissue for diagnosis, rather than excision of all nodules [37].…”

Section: Thoracic Splenosismentioning

confidence: 99%

See 1 more Smart Citation

Focal pleural tumorlike conditions: Nodules and masses beyond mesotheliomas and metastasis

Paula

Escuissato

Belém

et al. 2015

Respiratory Medicine

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A tumorlike condition of the pleura is any nonmalignant lesion of the pleura or within the pleural space that could be confused with a pleural tumor on initial imaging. Tumorlike conditions of the pleura are relatively rare compared with neoplastic lesions such as mesotheliomas and metastases. Imaging-based diagnosis of these conditions can be difficult due to the similarity of appearance. Thus, recognition of certain imaging patterns and interpretation of these patterns in the clinical context are important. Pleural endometriosis, thoracic splenosis, thoracolithiasis, foreign bodies, pleural pseudotumors and pleural plaques are significant examples of focal tumorlike conditions discussed in this article. Computed tomography is the mainstay imaging technique for the primary assessment of pleural disease, but other imaging methods, such as magnetic resonance imaging and positron-emission tomography, can be of great support in the diagnosis.

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Chronic Traumatic Diaphragmatic Hernia

Blitz

Louie

2009

Thoracic Surgery Clinics

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Asymptomatic thoracic splenosis after thoracoabdominal trauma: establishing a diagnosis

Cited by 4 publications

References 19 publications

Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma

Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma

Focal pleural tumorlike conditions: Nodules and masses beyond mesotheliomas and metastasis

Chronic Traumatic Diaphragmatic Hernia

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