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Ann Thorac Surg 1999;68:243-244
© 1999 The Society of Thoracic Surgeons

Case Reports

Noninvasive methods of diagnosing thoracic splenosis

Margaret F. Naylor, MDa, Nolan Karstaedt, MB, BCha, Sanford J. Finck, MDa, Omer L. Burnett, MDa

a Department of Diagnostic Radiology and the Section of Cardiovascular and Thoracic Surgery, Mayo Clinic Jacksonville, Jacksonville, Florida, USA

Address reprint requests to Dr Finck, Department of Diagnostic Radiology and the Section of Cardiovascular and Thoracic Surgery, Mayo Clinic Jacksonville, 4500 San Pablo Rd, Jacksonville, FL 32224

Thoracic splenosis is a rare condition resulting from concomitant rupture of the spleen and left hemidiaphragm, with autotransplantation of splenic tissue into the left hemithorax. It is usually an incidental finding on chest plain film or computed tomogram and is rarely diagnosed without biopsy or operation. A history of old splenic trauma and findings of left-sided, pleural-based nodules should indicate the diagnosis, which can be confirmed with nuclear medicine studies.




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