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Thoracic splenosis: Precision medicine can prevent thoracic surgery.
Respirol Case Rep
November 2024
Respiratory and Sleep Medicine South Western Sydney Local Health District Sydney New South Wales Australia.
Thoracic splenosis is a rare condition referring to the auto-transplantation of splenic tissue into the thoracic cavity following splenic trauma. We present a case of thoracic splenosis in a 62-year-old man who at the age of 17 suffered three gunshot wounds to the posterior thorax and abdomen, requiring a splenectomy and intercostal catheter insertion. In 2007, he underwent a thoracotomy and biopsy of a left sided pulmonary mass which was complicated by a haemothorax requiring an emergent return to theatre and rib resection to achieve haemostasis.
View Article and Find Full Text PDFUnveiling three accessory spleens in one patient: a rare case report and literature review.
Int J Emerg Med
November 2024
Department of Surgery, Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Article Synopsis
- The spleen develops from mesenchymal cells in the dorsal mesentery during embryogenesis, and accessory spleens are common anomalies that can be mistaken for tumors; this case is the first report of three accessory spleens found in Syria in a patient who had a prior splenectomy.
- A 33-year-old male experienced right-sided abdominal pain, and after medical evaluation, imaging tests showed a lobulated mass in the right adrenal gland and elevated levels of metanephrine, suggesting a pheochromocytoma; laparoscopic surgery ultimately revealed multiple accessory spleens without signs of cancer.
- The case emphasizes the importance of considering accessory spleens in patients with masses near the adrenal glands, as they can complicate diagnosis and treatment
Masquerading Spleen: A Perplexing Case of Intrahepatic Splenosis Mimicking Hepatocellular Carcinoma.
Cureus
September 2024
Pathology, Fukuoka Seishukai Hospital, Fukuoka, JPN.
Intrahepatic splenosis is an uncommon condition that can present a significant diagnostic challenge, often masquerading as more sinister hepatic lesions. We report a perplexing case of a 56-year-old female with a history of splenectomy who presented with liver masses initially suspected to be hepatocellular carcinoma (HCC). Despite advanced imaging techniques, including ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI), the lesions convincingly mimicked HCC.
View Article and Find Full Text PDFSpectrum of Heterotopic and Ectopic Splenic Conditions.
Radiographics
November 2024
From the Department of Radiology, University of Wisconsin School of Medicine and Public Health, E3/311 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3252 (L.W.N., M.G.L., P.J.P.); Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (S.M.B., S.B.); and American College of Radiology (ACR) Institute for Radiologic Pathology (AIRP), Silver Spring, Md (M.G.L., P.J.P.).
A spectrum of heterotopic and ectopic splenic conditions may be encountered in clinical practice as incidental asymptomatic detection or symptomatic diagnosis. The radiologist needs to be aware of these conditions and their imaging characteristics to provide a prompt correct diagnosis and avoid misdiagnosis as neoplasm or lymphadenopathy. Having a strong knowledge base of the embryologic development of the spleen improves understanding of the pathophysiologic basis of these conditions.
View Article and Find Full Text PDFComplex ovarian masses: Diagnostic processes and outcomes in a clinical case series of benign tumors.
SAGE Open Med Case Rep
September 2024
Department of Obstetrics and Gynaecology, Lebanese University, Beirut, Lebanon.
Article Synopsis
- This case series examines the challenges of diagnosing and managing non-cancerous ovarian masses through three specific examples: struma ovarii, mature teratoma, and an ovarian mass with peritoneal splenosis.
- The first case shows how a struma ovarii was wrongly suspected to be cancerous because of its complex imaging, leading to confusion in diagnosis.
- The series emphasizes the need for a thorough diagnostic strategy that uses imaging, surgical observations, and tissue analysis to accurately differentiate between benign and malignant conditions in ovarian health.*
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