Document Detail

Thoracic splenosis: A diagnosis by history and imaging.
MedLine Citation:
PMID:  18399879     Owner:  NLM     Status:  MEDLINE    
Thoracic splenosis (TS) is autoimplantation of ectopic splenic tissue in the thoracic cavity that occurs following splenic injury. The majority of cases of TS are asymptomatic and are diagnosed in the course of an evaluation of incidentally discovered pulmonary lesions. Some cases may be difficult to diagnose, especially if features suggesting TS are not recognized. This may lead to an extensive work-up and unnecessary invasive diagnostic procedures including thoracotomy. This case report describes a 40-year-old man, who was diagnosed incidentally with TS, several years after the initial injury. Multiple, asymptomatic, left-sided pleural based lesions associated with a history of thoracoabdominal injury and splenectomy are the key points that should alert suspicion of TS, which can then simply be confirmed by a Tc-99m sulphur colloid radionuclide scan. Most patients are treated conservatively unless they are symptomatic. Physicians must recognize the key features suggesting a diagnosis of TS, order appropriate imaging studies and avoid unnecessary invasive diagnostic procedures.
Amir M Khan; Kamran Manzoor; David Gordon; Andrew Berman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Respirology (Carlton, Vic.)     Volume:  13     ISSN:  1440-1843     ISO Abbreviation:  Respirology     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-10     Completed Date:  2008-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9616368     Medline TA:  Respirology     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  481-3     Citation Subset:  IM    
Department of Pulmonary, Jacobi and Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.
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MeSH Terms
Spleen / pathology*,  radionuclide imaging
Splenosis / diagnosis*,  pathology,  surgery
Thoracic Cavity / pathology*,  radionuclide imaging
Thoracic Injuries / complications
Tomography, Emission-Computed

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