Images in Cardiothoracic Medicine and Surgery
Pleural thoracic splenosis 17 years after thoracoabdominal blunt trauma
Asian Cardiovascular & Thoracic Annals 2014, Vol. 22(5) 632 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313488897 aan.sagepub.com
Jorge Quiroga1, Jose´ M Garcı´a-Prim1 and Carlos Aliste2
Figure 1. Magnetic resonance imaging showing 2 left pleural lesions (arrows).
Figure 3. 99mTc heat-damaged erythrocyte gammagraphy revealing 3 abdominal nodules in the previous spleen space (arrows).
electrocautery (Figure 2). Pathological examination revealed spleen tissue in both lesions with no signs of malignancy (thoracic splenosis). A nuclear imaging study after surgery (99mTc heat-damaged erythrocytes) revealed no extraabdominal nodules but 3 small nodules were seen in the previous spleen space (Figure 3). Conflict of interest statement None declared.
Funding Figure 2. Video-assisted thoracoscopy surgery view of the pleural splenosis.
A 35-year-old man presented with progressive left chest pain. He had a history of thoracoabdominal blunt trauma with phrenic rupture that required splenectomy 17 years previously (traffic accident). Magnetic resonance imaging revealed 2 pleural nodules in the left hemithorax, suggestive of neurogenic tumors (Figure 1). On this basis, left video-assisted thoracoscopy surgery was carried out, and 2 red well-defined pleural lesions were identified and removed with hook
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
1 Thoracic Surgery Service, Santiago University Hospital, Santiago de Compostela, La Corun˜a, Spain 2 Pathology Service, Santiago University Hospital, Santiago de Compostela, La Corun˜a, Spain
Corresponding author: Jorge Quiroga, MD, Thoracic Surgery Service, Santiago University Hospital, Choupana St. 15706, Santiago de Compostela, La Corun˜a, Spain. Email:
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