Out of place: thoracic splenosis—a case report

Abstract Background Thoracic splenosis is a rare condition where there is ectopic autotransplantation of splenic tissue, typically after traumatic injury of the spleen or splenectomy with or without history of diaphragmatic injury. This diagnosis is noteworthy, as fewer than 100 cases have been docu...

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Main Authors: Gaston Becherano, Eitan Podgaetz, Shair Ahmed, Sigrid Ringenberg, Gary Schwartz
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Cardiothoracic Surgeon
Subjects:
Online Access:https://doi.org/10.1186/s43057-024-00146-w
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author Gaston Becherano
Eitan Podgaetz
Shair Ahmed
Sigrid Ringenberg
Gary Schwartz
author_facet Gaston Becherano
Eitan Podgaetz
Shair Ahmed
Sigrid Ringenberg
Gary Schwartz
author_sort Gaston Becherano
collection DOAJ
description Abstract Background Thoracic splenosis is a rare condition where there is ectopic autotransplantation of splenic tissue, typically after traumatic injury of the spleen or splenectomy with or without history of diaphragmatic injury. This diagnosis is noteworthy, as fewer than 100 cases have been documented since its initial description in 1896. Additionally, the patient’s oncological background further complicated the diagnostic process. Case presentation We present a case of an asymptomatic 37-year-old male with a past medical history of a right testicular seminoma and a surgical history of splenectomy and left pneumothorax due to a motorcycle accident 18 years prior. During oncological surveillance, a computed tomography (CT) scan of the chest revealed a mediastinal mass, which raised concern for metastatic seminoma or a primary tumor. Surgical removal via a robotic-assisted thoracoscopic approach demonstrated thoracic splenosis. Conclusions Thoracic splenosis should be considered as a differential diagnosis of mediastinal masses in patients with history of traumatic spleen injury or splenectomy. Surgical resection may be necessary in oncological cases to rule out metastasis.
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spelling doaj-art-8d819ae3f6384532b63b138db2f46e222025-01-05T12:46:37ZengSpringerOpenThe Cardiothoracic Surgeon2662-22032025-01-013311310.1186/s43057-024-00146-wOut of place: thoracic splenosis—a case reportGaston Becherano0Eitan Podgaetz1Shair Ahmed2Sigrid Ringenberg3Gary Schwartz4Baylor Scott & White Research InstituteBaylor Scott & White Center for Thoracic SurgeryBaylor Scott & White Center for Thoracic SurgeryBaylor Scott & White Center for Thoracic SurgeryBaylor Scott & White Center for Thoracic SurgeryAbstract Background Thoracic splenosis is a rare condition where there is ectopic autotransplantation of splenic tissue, typically after traumatic injury of the spleen or splenectomy with or without history of diaphragmatic injury. This diagnosis is noteworthy, as fewer than 100 cases have been documented since its initial description in 1896. Additionally, the patient’s oncological background further complicated the diagnostic process. Case presentation We present a case of an asymptomatic 37-year-old male with a past medical history of a right testicular seminoma and a surgical history of splenectomy and left pneumothorax due to a motorcycle accident 18 years prior. During oncological surveillance, a computed tomography (CT) scan of the chest revealed a mediastinal mass, which raised concern for metastatic seminoma or a primary tumor. Surgical removal via a robotic-assisted thoracoscopic approach demonstrated thoracic splenosis. Conclusions Thoracic splenosis should be considered as a differential diagnosis of mediastinal masses in patients with history of traumatic spleen injury or splenectomy. Surgical resection may be necessary in oncological cases to rule out metastasis.https://doi.org/10.1186/s43057-024-00146-wSplenosisThoracic splenosisSeminomaRobotic surgeryOncology
spellingShingle Gaston Becherano
Eitan Podgaetz
Shair Ahmed
Sigrid Ringenberg
Gary Schwartz
Out of place: thoracic splenosis—a case report
The Cardiothoracic Surgeon
Splenosis
Thoracic splenosis
Seminoma
Robotic surgery
Oncology
title Out of place: thoracic splenosis—a case report
title_full Out of place: thoracic splenosis—a case report
title_fullStr Out of place: thoracic splenosis—a case report
title_full_unstemmed Out of place: thoracic splenosis—a case report
title_short Out of place: thoracic splenosis—a case report
title_sort out of place thoracic splenosis a case report
topic Splenosis
Thoracic splenosis
Seminoma
Robotic surgery
Oncology
url https://doi.org/10.1186/s43057-024-00146-w
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