Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Mohammed O Suraju; Nicole Peyton; Brian Mooers; Chris Jensen; Joel Shilyansky

doi:10.1186/s13019-020-01270-4

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Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Journal article

Open access

Peer reviewed

Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Mohammed O Suraju, Nicole Peyton, Brian Mooers, Chris Jensen and Joel Shilyansky

Journal of cardiothoracic surgery, Vol.15(1), pp.232-232

08/31/2020

DOI: 10.1186/s13019-020-01270-4

PMCID: PMC7457812

PMID: 32867804

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Abstract

Congenital intrathoracic accessory spleen (CIAS) refers to a developmental anomaly resulting in the presence of splenic tissue within the chest. The differential diagnoses for the resulting mass are pulmonary malformations, or lesions with malignant potential. To our knowledge, only four cases of presumed CIAS have been described in literature to date, and no cases were reported in the United States. We report on a 14-year-old Caucasian female with a left chest mass discovered incidentally on a CT scan performed following an all-terrain vehicle accident. Following resection, the mass was diagnosed as a CIAS. From our review of literature, we found that CIAS can pose a diagnostic dilemma as it is rare, difficult to distinguish from pulmonary sequestration, or malignancy, and biopsy is often inconclusive. Resection is required to rule out malignancy and determine the diagnosis. Pediatric thoracic surgeons should consider CIAS in their differential for an intrathoracic mass with an inconclusive biopsy.

Accidents, Traffic

Adolescent

Diagnosis, Differential

Female

Humans

Incidental Findings

Off-Road Motor Vehicles

Spleen - abnormalities

Spleen - diagnostic imaging

Spleen - pathology

Spleen - surgery

Tomography, X-Ray Computed

Details

Title: Subtitle: Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report
Creators: Mohammed O Suraju - University of Iowa Hospitals and Clinics
Nicole Peyton - University of Iowa Hospitals and Clinics
Brian Mooers - University of Iowa Hospitals and Clinics
Chris Jensen - University of Iowa Hospitals and Clinics
Joel Shilyansky - University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: Journal of cardiothoracic surgery, Vol.15(1), pp.232-232
DOI: 10.1186/s13019-020-01270-4
PMID: 32867804
PMCID: PMC7457812
NLM abbreviation: J Cardiothorac Surg
ISSN: 1749-8090
eISSN: 1749-8090
Grant note: P30 CA086862 / NCI NIH HHS
Language: English
Date published: 08/31/2020
Academic Unit: Stead Family Department of Pediatrics; Pathology; Surgery
Record Identifier: 9984186486002771

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6 Times Cited - Web of Science