Abstract | BACKGROUND: Thoracic splenosis is a rare entity. It occurs sometime after splenic and diaphragmatic injury, and it is rarely symptomatic. CASE DESCRIPTION: We report a case of left upper thoracic paraspinal splenosis 25 years after a thoracoabdominal penetrating trauma that required a splenectomy. The pathology was suspected on a routine chest x-ray and it mimicked a schwannoma on magnetic resonance imaging. Less than 40 cases of thoracic splenosis were described in the literature, but few were misinterpreted as schwannoma. CONCLUSION: Alertness to the possibility of thoracic splenosis can lead to confirmation of the diagnosis with technetium Tc 99m-tagged red blood cell radionuclide scanning based on a previous history of traumatic splenectomy.
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Authors | Ali M Alaraj, Roukoz B Chamoun, Nader S Dahdaleh, Pierre M Sfeir, Mohamad S Miski, Zaher K Otrock, Ghassan S Skaf |
Journal | Surgical neurology
(Surg Neurol)
Vol. 64
Issue 2
Pg. 185-8; discussion 188
(Aug 2005)
ISSN: 0090-3019 [Print] United States |
PMID | 16051021
(Publication Type: Case Reports, Journal Article, Review)
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Topics |
- Adult
- Diagnosis, Differential
- Humans
- Magnetic Resonance Imaging
- Male
- Neurilemmoma
(diagnosis)
- Radiography, Thoracic
- Splenectomy
- Splenosis
(diagnosis)
- Thoracic Neoplasms
(diagnosis)
- Time Factors
- Wounds, Penetrating
(surgery)
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