期刊
JOURNAL OF CARDIOTHORACIC SURGERY
卷 15, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s13019-020-01270-4
关键词
Congenital intrathoracic accessory spleen; Thoracic splenule; Splenosis; Bronchopulmonary sequestration
资金
- NCI NIH HHS [P30 CA086862] Funding Source: Medline
Background 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. Case presentation 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. Conclusions 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.
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