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Ann Thorac Surg 1998;66:552-553
© 1998 The Society of Thoracic Surgeons

Case Reports

Thoracic splenosis

James V. O’Connor, MDa, Christopher Coleman Brown, MDb, Jared K. Thomas, MDc, James Williams, MDd, Eugene Wallsh, MDa,b

a Division of Cardiovascular Surgery, Texas Tech Medical Center, Lubbock, Texas, USA
b Department of Surgery, Texas Tech Medical Center, Lubbock, Texas, USA
c Department of Radiology, Texas Tech Medical Center, Lubbock, Texas, USA
d Department of Pathology, Texas Tech Medical Center, Lubbock, Texas, USA

Accepted for publication February 17, 1998.

Address reprint requests to Dr O’Connor, Division of Cardiovascular Surgery, Texas Tech Medical Center, 3601 4th St/Rm 3A124, Lubbock, TX 79430

Thoracic splenosis is a rare pathologic entity resulting from seeding of splenic tissue in the pleural cavity after thoracoabdominal trauma. A 45-year-old man with a history of splenectomy secondary to abdominal trauma presented with a left lung mass and an inconclusive tissue diagnosis after needle biopsy. Thoracic splenosis was not suspected preoperatively, considered on an intraoperative frozen section, and established on permanent pathologic biopsy specimens obtained during thoracotomy. A history of thoracoabdominal trauma, combined with radiologic and radionuclide imaging studies, may establish the diagnosis without thoracotomy.




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