Korean J Thorac Cardiovasc Surg 2019; 52(1): 47-50  https://doi.org/10.5090/kjtcs.2019.52.1.47
Thoracic Splenosis after Splenic and Diaphragmatic Injury
You Jin Ha, M.D., Tae Hee Hong, M.D., Yong Soo Choi, M.D., Ph.D.
Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
Corresponding author: Yong Soo Choi, Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea
(Tel) 82-2-3410-6542 (Fax) 82-2-3410-6986 (E-mail) choi.smcts@gmail.com
Received: August 1, 2018; Revised: September 16, 2018; Accepted: September 17, 2018.; Published online: February 5, 2019.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Thoracic splenosis is a rare disease that develops as a result of autotransplantation of splenic tissue into the thoracic cavity following splenic and diaphragmatic injury. We report the case of a 53-year-old man with a chief complaint of heartburn and cough. He had a history of traumatic diaphragmatic rupture treated with surgical repair and splenectomy 15 years ago. Imaging studies revealed a paraesophageal mass, and surgical resection was performed considering the possibility of Castleman disease or an esophageal submucosal tumor. Pathologic results showed findings of normal splenic tissue. The patient was discharged on postoperative day 5 without any complications.
Keywords: Thoracic splenosis, Juxtapleural nodule, Traumatic diaphragm injury


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