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Pier Luigi Filosso
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J Thorac Cardiovasc Surg 2007;134:1594-1595
© 2007 The American Association for Thoracic Surgery

Brief Communication

Intrathoracic splenosis: A case report and an update of invasive and noninvasive diagnostic techniques

Enrico Ruffini, MDa,*, Sofia Asioli, MDb, Pier Luigi Filosso, MDa, Rebecca Senettab, Luigia Macrìb, Antonio Cavallo, MDa, Alberto Oliaro, MDa

a Department of Thoracic Surgery, University of Torino, Torino, Italy
b Department of Pathology, University of Torino, Torino, Italy.

Received for publication June 9, 2007; revisions received July 26, 2007; accepted for publication August 7, 2007.

* Address for reprints: Enrico Ruffini, MD, Thoracic Surgery, University of Torino, 3, Via Genova 10126 Torino, Italy. (Email: enrico.ruffini@unito.it).

The first 20% of the full text of this article appears below.

Intrathoracic splenosis is a rare condition resulting from autotransplantation of splenic tissue into the left side of the chest, usually after diaphragmatic and splenic rupture after blunt or penetrating abdominal trauma. Patients are often free of symptoms, and nodules are usually discovered at computed tomographic scan. Owing to the rarity of the condition (30 cases in the literature so far), most patients undergo thoracotomy before final diagnosis. We present a case of thoracic splenosis that recently came to our attention.

Clinical Summary

A 67-year-old man had a left upper lobe mass identified during workup for prostatectomy for benign prostate hypertrophy. Medical history was unremarkable except for an injury that had occurred 43 years earlier with rib fractures, pneumothorax, and spleen rupture; no diaphragmatic rupture was evidenced. A chest tube was inserted and a splenectomy was undertaken at that time.

Preoperative workup for the lung lesion included a chest and upper abdominal computed tomographic scan (Figure 1) and fine-needle . . . [Full Text of this Article]






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