Scholarlink

Background <p>Thoracic splenosis is a rare condition where there is ectopic autotransplantation of splenic tissue, typically after traumatic injury of the spleen or splenectomy with or without history of diaphragmatic injury. This diagnosis is noteworthy, as fewer than 100 cases have been documented since its initial description in 1896. Additionally, the patient’s oncological background further complicated the diagnostic process.</p> Case presentation <p>We present a case of an asymptomatic 37-year-old male with a past medical history of a right testicular seminoma and a surgical history of splenectomy and left pneumothorax due to a motorcycle accident 18&#xa0;years prior. During oncological surveillance, a computed tomography (CT) scan of the chest revealed a mediastinal mass, which raised concern for metastatic seminoma or a primary tumor. Surgical removal via a robotic-assisted thoracoscopic approach demonstrated thoracic splenosis.</p> Conclusions <p>Thoracic splenosis should be considered as a differential diagnosis of mediastinal masses in patients with history of traumatic spleen injury or splenectomy. Surgical resection may be necessary in oncological cases&#xa0;to rule out metastasis.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Out of place: thoracic splenosis—a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月3日

查看全文
  • Gaston Becherano,
  • Eitan Podgaetz,
  • Shair Ahmed,
  • Sigrid Ringenberg,
  • Gary Schwartz

摘要

Background

Thoracic splenosis is a rare condition where there is ectopic autotransplantation of splenic tissue, typically after traumatic injury of the spleen or splenectomy with or without history of diaphragmatic injury. This diagnosis is noteworthy, as fewer than 100 cases have been documented since its initial description in 1896. Additionally, the patient’s oncological background further complicated the diagnostic process.

Case presentation

We present a case of an asymptomatic 37-year-old male with a past medical history of a right testicular seminoma and a surgical history of splenectomy and left pneumothorax due to a motorcycle accident 18 years prior. During oncological surveillance, a computed tomography (CT) scan of the chest revealed a mediastinal mass, which raised concern for metastatic seminoma or a primary tumor. Surgical removal via a robotic-assisted thoracoscopic approach demonstrated thoracic splenosis.

Conclusions

Thoracic splenosis should be considered as a differential diagnosis of mediastinal masses in patients with history of traumatic spleen injury or splenectomy. Surgical resection may be necessary in oncological cases to rule out metastasis.