Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma

  • Faisal Mehmood CMH Lahore
  • Muhammad Murad Murtaza CMH Lahore Medical College
  • Shehrbano Ali CMH Lahore Medical College
  • Amna Ashraf CMH Lahore
Keywords: thoracic splenosis, spleen, splenectomy, accessory spleen, trauma, malignancy, nodules

Abstract

Thoracic Splenosis (TS) is a rare medical condition, where there is auto-transplantation of the splenic tissue in the thoracic cavity, often leading to pleural based nodules. Our patient is the first ever case of this condition in Pakistan, and underwent extensive diagnostic procedures as well as medical treatments, before receiving the diagnosis of TS. He underwent HRCT for chronic cough that revealed pleural and mediastinal nodules. This coupled with a vague mass in the testes led to the provisional diagnosis of metastasized testicular tumour, and later a diagnosis of pulmonary tuberculosis was made. However, eventually a 99mTc denatured red blood cell scan confirmed the diagnosis of TS. TS is a benign condition, whereas other causes of pleural nodules are relatively malignant, hence its diagnosis is essential in ruling out malignancies. Among the multiple invasive and non-invasive diagnostic modalities, the gold standard remains 99mTc denatured red blood cell scan, which is a sensitive test that provides an accurate diagnosis and bars the need of multiple invasive procedures.

doi: https://doi.org/10.12669/pjms.38.3.4563

How to cite this:
Mehmood F, Murtaza MM, Ali S, Ashraf A. Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma. Pak J Med Sci. 2022;38(3):---------.  doi: https://doi.org/10.12669/pjms.38.3.4563

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Faisal Mehmood, CMH Lahore

Head of Department

Department of Oncology

Amna Ashraf, CMH Lahore

Department of Medicine

Published
2022-01-15
How to Cite
Mehmood, F., Murtaza, M. M., Ali, S., & Ashraf, A. (2022). Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma. Pakistan Journal of Medical Sciences, 38(3). https://doi.org/10.12669/pjms.38.3.4563