Intrathoracic splenosis secondary to previous penetrating thoracoabdominal trauma diagnosed during delayed diaphragmatic hernia repair

Although intraperitoneal splenosis is a very common disease, intrathoracic splenosis is very rare. It is generally an asymptomatic disease that occurs after thoracoabdominal trauma, and is diagnosed as an intrathoracic mass that leads to unnecessary investigations to be differentiated from other benign or malignant lesions of the chest. We present a patient with an intrathoracic mass which was preoperatively diagnosed as a diaphragmatic hernia on chest X-ray and magnetic resonance imaging. We have intraoperatively recognized that many pieces of splenic tissue have been herniated through a diaphragmatic defect, and formed intrathoracic splenosis. We repaired the diaphragmatic hernia defect after excision of fragments of the spleen.

Gecikmiþ diyafragma hernisi onarýmý sýrasýnda saptanan ve eski bir penetran torakoabdominal travma sonucu oluþmuþ intratorasik splenozis

Ýntratorasik splenozis, torakoabdominal bir yaralanmadan sonra görülen asemptomatik bir hastalýktýr. Göðüs boþluðunda yer iþgal eden bir kitledir ve malign lezyonlar baþta olmak üzere diðer kitlelerden ayýrt edilmesi gerekir. Bu yazýda, 25 yýl önce geçirilmiþ penetran sol torakoabdominal travma öyküsü olan ve kliniðimize nonspesifik solunum sistemi þikayetleriyle baþvuran 50 yaþýndaki erkek hasta sunuldu. Akciðer grafisi ve toraksýn manyetik rezonans incelemeleri ile diyafragma hernisine baðlý göðüs boþluðunda kitle teþhisi koyulan hastada, ameliyat sýrasýnda intratorasik splenozis tespit edildi. Diyafram hasarý, dalak dokularý çýkarýldýktan sonra onarýldý.