Thoracic Splenosis: A Case Report and the Importance of Clinical History.
10.3346/jkms.2010.25.2.299
- Author:
Kyungeun KIM
1
;
Hye Jeong CHOI
;
Young Min KIM
;
Woon Jung KWON
;
Won Chan LEE
;
Jae Hee SUH
Author Information
1. Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Thoracic Cavity;
Splenosis;
Splenectomy
- MeSH:
Abdominal Injuries/complications;
Adult;
Diagnosis, Differential;
Humans;
Male;
Medical Records;
Spleen/injuries/surgery;
Splenectomy;
Splenosis/*diagnosis/etiology/radiography;
Thoracic Diseases/*diagnosis/etiology/radiography;
Thoracic Surgery, Video-Assisted;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2010;25(2):299-303
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of thoracic splenosis in a 42-yr-old man with a medical history of abdominal surgery for a penetration injury with an iron bar of the left abdomen and back. He had been in good condition, but a chest radiograph taken during a regular checkup showed a multinodular left pleura-based mass. Computed tomography (CT) showed that the mass was well-enhanced and homogeneous, indicating a sclerosing hemangioma. Following its removal by video-assisted thoracoscopic surgery, the mass appeared similar to a hemangioma, with marked adhesion to the left side diaphragmatic pleura and lung parenchyma. Frozen section showed that the lesion was a solid mass consisted with abundant lymphoid cells, suggesting a low grade lymphoma. On permanent section, however, the mass was found to be composed of white pulp, red pulp, a thick capsule and trabeculae and was diagnosed as ectopic splenic tissue, or thoracic splenosis. Review of the patient's history and chest CT at admission revealed that the patient had undergone a splenectomy for the penetration injury 20 yr previously.
