Thoracic Splenosis: A Case Report and the Importance of Clinical History
Journal of Korean Medical Science
;
: 299-303, 2010.
Article
in English
| WPRIM
| ID: wpr-109853
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spleen
/
Splenectomy
/
Thoracic Diseases
/
Tomography, X-Ray Computed
/
Medical Records
/
Splenosis
/
Thoracic Surgery, Video-Assisted
/
Diagnosis, Differential
/
Abdominal Injuries
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2010
Type:
Article
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