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Eur J Cardiothorac Surg 2005;28:640
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

An accessory spleen misrecognized as an intrathoracic mass

Hyun Joo Lee, Young Tae Kim * , Chang Hyun Kang, Joo Hyun Kim

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Cancer Research Institute, Xenotransplantation Center, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, South Korea

Received 14 April 2005; received in revised form 31 May 2005; accepted 6 June 2005.

* Corresponding author. Tel.: +82 2 2072 3161; fax: +82 2 765 7117. (Email: ytkim{at}snu.ac.kr).

Key Words: Accessory spleen • Intrathoracic mass • Diaphragm

A 31-year-old woman was referred for an incidentally detected intrathoracic mass (Fig. 1 ). At the video-assisted surgery, we found an accessory spleen attached to the diaphragmatic surface by mesenteric pedicle (Fig. 2 ). It is the first case of an intrathoracic accessory spleen fed by abdominal mesenchymal vessels without trauma history and hematologic disease.



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  		Fig. 1. Computed tomography scan of thorax showing a homogenously enhanced mass with central feeding vessel bordering the diaphragm and the parietal pleura (A). Note a cord-like enhanced structure underneath the diaphragm, which was the vascular pedicle (B).

 


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  		Fig. 2. A round bluish-red colored mass and fatty mesenteric pedicle (thoracoscopic view). AS, accessory spleen; VP, vascular pedicle; D, diaphragm; H, heart.

 




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Thoracic splenule without prior history of trauma or surgery
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 530 - 531.
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Young Tae Kim
Chang Hyun Kang
Joo Hyun Kim
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