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Thoracic splenosis may occur after blunt or penetrating trauma of the thoracoabdominal region. It is diagnosed in 65% of cases of splenic rupture. Trauma-related splenosis is more frequent in the peritoneum, omentum, and mesenterium. The incidence of intrathoracic splenosis is 18%, and the most common location is the pleural space of the left hemithorax. Thoracic splenosis should be considered as a differential diagnosis in patients with multiple lesions in the left hemithorax and a history of splenic trauma involving thoracoabdominal injury.

Thoracic splenosis after thoracoabdominal injury sustained 25 years previously