Respir Case Rep. 2023; 12(1): 15-18 | DOI: 10.5505/respircase.2023.23281

A Case of Thoracic Splenosis Diagnosed with Spleen Scintigraphy

Hasan Yavuz¹, Fatih Tamer⁴, Akýn Çinkooðlu³, Ayþegül Akgün², Ufuk Çaðýrýcý^1
1Department of Thoracic Surgery, Ege University Faculty of Medicine, Ýzmir, Türkiye
²Department of Nuclear Medicine, Ege University Faculty of Medicine, Ýzmir, Türkiye
³Department of Radiology, Ege University Faculty of Medicine, Ýzmir, Türkiye
⁴Department of Nuclear Medicine, Niðde Ömer Halisdemir University Training and Research Hospital, Niðde, Türkiye

Splenosis is the autotransplantation of spleen tissue to different parts of the body following a traumatic spleen and diaphragmatic rupture. Thoracic localization is very rare, usually asymptomatic, and detected incidentally. This paper describes a patient who had nonspecific symptoms and was diagnosed with thoracic splenosis using imaging methods without any invasive procedures. In cases with a history of trauma and spleen or diaphragmatic injury secondary to trauma, thoracic splenosis should be suspected when any pulmonary, pleural, or intrathoracic space-occupying lesion is detected in the left hemithorax, and the diagnosis should be made by effective and minimally invasive exclusion of malignant lesions.

Keywords: Splenosis, Traumatic spleen/diaphragmatic injury, Spleen scintigraphy

---

Dalak Sintigrafisi ile Taný Konulan Torasik Splenozis Olgusu

Hasan Yavuz¹, Fatih Tamer⁴, Akýn Çinkooðlu³, Ayþegül Akgün², Ufuk Çaðýrýcý^1
1Ege Üniversitesi Týp Fakültesi Göðüs Cerrahisi Anabilim Dalý, Ýzmir
²Ege Üniversitesi Týp Fakültesi, Nükleer Týp Anabilim Dalý, Ýzmir
³Ege Üniversitesi Týp Fakültesi, Radyoloji Anabilim Dalý, Ýzmir
⁴Niðde Ömer Halisdemir Üniversitesi Eðitim ve Araþtýrma Hastanesi, Nükleer Týp Anabilim Dalý, Niðde

Splenosis, travmatik dalak ve diyafragma rüptürü sonrasý dalak dokusunun çeþitli vücut bölgelerine ototransplantasyon þeklinde yayýlmasýdýr. Torasik yerleþimi ise çok nadirdir, genellikle asemptomatiktir ve insidental olarak saptanýr. Travma öyküsü ve travmaya sekonder dalak/diafragma yaralanmasý olan olgularda sol hemitoraksta pulmoner/plevral veya intratorasik yerleþimli herhangi bir yer kaplayan lezyon saptandýðýnda torasik splenozisten þüphelenilmelidir ve taný malign lezyonlarýn etkin ve minimal invazif þekilde dýþlanmasýyla konulmalýdýr. Bu yayýnda, nonspesifik semtomplar ile baþvuran ve invazif iþlem uygulanmadan görüntüleme yöntemleri ile torasik splenozis tanýsý konan bir olgu sunulmaktadýr.

Anahtar Kelimeler: Splenozis, Travmatik dalak/diyafragma yaralanmasý, Dalak sintigrafisi

---

CITE