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Thoracic splenosis is a rare condition referring to the auto‐transplantation of splenic tissue into the thoracic cavity following splenic trauma. We present a case of thoracic splenosis in a 62‐year‐old man who at the age of 17 suffered three gunshot wounds to the posterior thorax and abdomen, requiring a splenectomy and intercostal catheter insertion. In 2007, he underwent a thoracotomy and biopsy of a left sided pulmonary mass which was complicated by a haemothorax requiring an emergent return to theatre and rib resection to achieve haemostasis. The biopsy revealed granulation tissue. In 2023, Technetium‐99m (Tc‐99m) heat‐damaged erythrocyte scintigraphy confirmed the diagnosis of thoracic splenosis. This case highlights the importance of recognizing this uncommon condition to prevent unnecessary investigation, as well as the use of Tc‐99m heat‐damaged erythrocyte scintigraphy to confirm the diagnosis. [ABSTRACT FROM AUTHOR]

Bronchopleural fistula (BPF) is a known complication of necrotizing pneumonia that is treated primarily with pleural drainage and antimicrobial therapy, while surgical treatments are generally reserved for those who do not respond to conservative management. Endobronchial spigots - a potentially less invasive approach to the treatment of bronchial occlusion - can be utilized when the culprit bronchi can be isolated and successfully blocked. We describe here the case of a 44-year-old female with a persistent right lower lobe bronchopleural fistula complicating necrotizing MRSa pneumonia, despite pleural drainage and directed antimicrobial therapy. The use of an endobronchial spigot for the bronchial occlusion of two bronchopulmonary segments led to an immediate reduction in the size of a large pleural cavity, contributing to significant symptomatic and biochemical improvement. The treatment can thus be considered an alternate cost-effective minimally invasive approach to the management of non-resolving bronchopleural fistula. [ABSTRACT FROM AUTHOR]