Ali VERAL, Alpaslan ÇAKAN, Kutsal TURHAN, Ufuk ÇAĞIRICI, Ayşe Gül ERGÖNÜL, Yeliz EROL

Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma

Torasik splenozis, dalak dokusunun sol hemitoraksa ototransplantasyonunu içeren, dalak ve sol hemidiyafragmanın eşzamalı rüptürü sonucu gelişen nadir bir durumdur. Bu yazıda, sırt ağrısı şikayeti nedeniyle muayene edilen ve akciğer grafisi ve göğüs bilgisayarlı tomografisinde malign olduğu değerlendirilen sol plevral nodülleri olan 61 yaşında bir kadın hasta sunuldu. Hastanın travmatik dalak ve sol diyafragma rüptürü öyküsü vardı. Nodüller için video yardımlı torakoskopik biyopsi uygulandı ve histolojik inceleme nodüllerin dalak dokusu olduğunu doğruladı. Torasik splenozis, sol tek plevral nodülü ya da multipl plevral nodülleri ve geçmişinde dalak ve sol diyafragma rüptürü olan hastalarda akılda tutulması gereken bir patolojidir.

Torakoabdominal travmadan 48 yıl sonra tanı konulan torasik splenozis

Thoracic splenosis is a rare condition including autotransplantation of splenic tissue into the left hemithorax and resulting from simultaneous rupture of the spleen and left hemidiaphragm. In this article, we report a 61-yearold female patient examined due to back pain and who was found to have left pleural nodules in her chest X-ray and computed tomography which were considered to be malignant. Patient had a history of traumatic spleen and left diaphragm rupture. Video assisted thoracoscopic biopsy of the nodules was performed and histological examination confirmed the nodules as splenic tissue. Thoracic splenosis is a pathology which should be kept in mind in patients having a left solitary pleural nodule or multiple pleural nodules and a history of spleen and left diaphragm rupture.

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