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Thoracic splenosis mimicking a pleuropneumonia: A case report.

Abstract Splenosis is the development of one or more heterotopic splenic tissue autoimplants following rupture of the spleen and remains mostly asymptomatic.
PMID
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Authors

Mayor MeshTerms

Thoracic Cavity

Keywords
Journal Title medicine
Publication Year Start




PMID- 28723778
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170808
LR  - 20170808
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Thoracic splenosis mimicking a pleuropneumonia: A case report.
PG  - e7552
LID - 10.1097/MD.0000000000007552 [doi]
AB  - RATIONALE: Splenosis is the development of one or more heterotopic splenic tissue
      autoimplants following rupture of the spleen and remains mostly asymptomatic.
      PATIENT CONCERNS: We report a case of a 50-year old post-traumatic splenectomized
      man admitted for a left side community acquired pneumonia resistant to
      antibiotics. DIAGNOSES: The diagnosis of intrathoracic ectopic spleen was
      suspected because of the history of spleen trauma with diaphragm rupture and the 
      absence of Howell-Jolly bodies. INTERVENTIONS: Technetium (Tc)-m colloid
      scintigraphy SPECT, fused with CT scan showed an intense radionuclide uptake on
      hyper vascularized masses without any additional pathologic uptake and confirmed 
      the diagnosis of thoracic splenosis. OUTCOMES: Despite any lifelong penicillin
      prophylaxis, he had no history of infections eight years after the diagnosis.
      LESSONS: Physician must be aware of this differential diagnosis and of its
      consequences. Depending on its size and location, it may lead to incorrect
      diagnosis (tumor, empyema, abscess ...), treatment and invasive procedures while 
      the diagnosis of splenosis only relies upon imaging studies associated with
      functionnal study of the uptake of particles or cells.
FAU - Baldolli, Aurelie
AU  - Baldolli A
AD  - aCHU de Caen, France, Infectious Diseases Department bCHU de Caen, France,
      Radiology Department cCHU de Caen, France, Nuclear Medicine Department dGroupe de
      Recherche sur l'Adaptation Microbienne (GRAM 2.0), Normandie University, UNICAEN 
      Caen, PFRS, 2 rue des Rochambelles, Caen, France.
FAU - Coeuret, Solene
AU  - Coeuret S
FAU - Le Pennec, Vincent
AU  - Le Pennec V
FAU - Agostini, Denis
AU  - Agostini D
FAU - Verdon, Renaud
AU  - Verdon R
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Cytomegalovirus Infections/complications/diagnosis
MH  - Diagnosis, Differential
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pleuropneumonia/*diagnosis
MH  - Spleen/diagnostic imaging/injuries/surgery
MH  - Splenectomy
MH  - Splenosis/complications/*diagnosis
MH  - *Thoracic Cavity/diagnostic imaging
MH  - Thoracic Diseases/*diagnosis/diagnostic imaging
PMC - PMC5521918
EDAT- 2017/07/21 06:00
MHDA- 2017/08/09 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007552 [doi]
AID - 00005792-201707210-00043 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7552. doi: 10.1097/MD.0000000000007552.