Abstract
Thoracic splenosis is a rare entity resulting from splenic and diaphragmatic injury. Patients remain asymptomatic, and surgical intervention is not indicated in the majority of cases. We report a case of a 50-year-old male with a history of splenectomy due to a gunshot wound 30 years previously who presented with vague, progressively worsening chest pain. He was found to have a large intrathoracic splenosis. Unique features of our patient include the presence of symptoms, the significant interval growth of the splenic tissue, and the unprecedented size of the mass, which we believe to be the largest among those previously described.
Highlights
Thoracic splenosis is a rare, benign condition involving autotransplantation of splenic tissue into the pleural cavity via trauma or surgery
Thoracic splenosis has not been associated with symptoms with the exception of three previously reported cases that involved pleuritic chest pain and recurrent hemoptysis [3,4,5]
The diagnosis of intrathoracic splenosis was established, the patient was referred to the thoracic surgery service because of phrenic nerve was dissected free of the mass and preserved
Summary
Background Thoracic splenosis is a rare, benign condition involving autotransplantation of splenic tissue into the pleural cavity via trauma or surgery. We describe a case of symptomatic intrathoracic splenosis in a 50-year-old man. Thoracic splenosis has not been associated with symptoms with the exception of three previously reported cases that involved pleuritic chest pain and recurrent hemoptysis [3,4,5].
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