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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 ORCID iD icon (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