Thoracic splenosis after a gunshot: diffusion-weighted MRI findings.

Authors :: Tutar O
Bakan S
Samanci C
Nurili F
Sayman HB
Akman C
Source :: Polish journal of radiology [Pol J Radiol] 2015 Feb 20; Vol. 80, pp. 89-92. Date of Electronic Publication: 2015 Feb 20 (Print Publication: 2015).
Publication Year :: 2015
Abstract: Background: Intrathoracic splenosis is a rare condition resulting from concomitant rupture of the spleen and left hemidiaphragm after a traumatic event involving the spleen and the diaphragma and is defined as autotransplantation of splenic tissue in thorax.<br />Case Report: The aim of this study was to present a case report of a combined intrathoracic and subcutaneous splenosis in a patient 19 years after penetrating trauma. She has left dorsal side pain and routine chest roentgenogram shows pleural nodular masses. The patient was referred to us for radiologic work up.<br />Conclusions: The MRI scans revealed the intrathoracic and subcutan masses as mainly hypointense on T1-weighted images and hyperintense on T2-weighted images and significant restriction in diffusion-weighted images. Scintigraphy revealed abnormal hot spots in subcutaneous tissue and diaphragmatic pleura of the left hemithorax.