Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 9-10, Pages: 541-544
https://doi.org/10.2298/SARH1610541P
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Symptomatic isolated thoracic splenosis 11 years after abdominal trauma: Case report
Pleša Tanja (Kasindo Public Health Hospital, East Sarajevo, Republic of Srpska, Bosnia and Herzegovina)
Ždrale Slavko (Kasindo Public Health Hospital, East Sarajevo, Republic of Srpska, Bosnia and Herzegovina)
Batinić-Škipina Danijela (Foča University Hospital, Foča, Republic of Srpska, Bosnia and Herzegovina)
Kovačević Miodrag (Foča University Hospital, Foča, Republic of Srpska, Bosnia and Herzegovina)
Jurišić Vladimir (University of East Sarajevo, Faculty of Medicine, Foča, Republic of Srpska, Bosnia and Herzegovina)
Lalović Nenad (Foča University Hospital, Foča, Republic of Srpska, Bosnia and Herzegovina)
Petković Nenad (Fresenius Medical Care Dialysis Center, Šamac, Republic of Srpska, Bosnia and Herzegovina)
Introduction. Thoracic splenosis is defined as the autotransplantation of
splenic tissue into thorax. It occurs due to splenic rupture in association
with a diaphragmatic tear on the left side after a traumatic event. It is a
rare disease that most commonly remains undiscovered as it is usually
asymptomatic. Case Outline. We present a symptomatic case of thoracic
splenosis in a 53-year-old smoker male patient with a medical history of
abdominal surgery and splenectomy for a thoracoabdominal gunshot. Three years
before the medical examination he was suffering from dyspnea, frequent
coughing, left pleuritic chest pain and complained about faster fatigue. A
chest radiograph obtained during a medical checkup showed a multinodular left
pleura-based mass in the upper lobe. Established histopathological diagnosis
after surgical removal of the nodule was splenosis. No evidence of malignancy
was observed. Conclusion. Splenosis should be considered as a differential
diagnosis by the undertaken workup of left pulmonary nodules or masses in
patients with a history of trauma.
Keywords: symptomatic thoracic splenosis, splenectomy, thoracoabdominal gunshot