Intrahepatic splenosis demonstrated by diffusion weighted MRI with histologic confirmation.

Accessory spleen Diffusion weighted imaging (DWI) Intrahepatic splenosis Metastasis Pelvic Splenosis Peritoneal splenosis Splenic trauma Splenosis

Journal

Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888

Informations de publication

Date de publication:
May 2020
Historique:
received: 30 01 2020
revised: 18 02 2020
accepted: 20 02 2020
entrez: 28 3 2020
pubmed: 28 3 2020
medline: 28 3 2020
Statut: epublish

Résumé

Acquired ectopic splenic tissue is called splenosis, which is common after the history of trauma or surgical exploration. We present a rare case of intrahepatic splenosis in 36-year-old male patient mimicking a liver neoplasm on imaging however presented with left flank pain for 5 months and had remote history of splenectomy after splenic rupture from trauma. We discuss various imaging modalities and the role of various magnetic resonance imaging sequences and nuclear medicine examination. We also discuss the differentiating features to be kept to make the correct diagnosis along with a brief review of literature. We mentioned signal intensities of splenic lesions and normal signal intensity of spleen in different magnetic resonance imaging sequences and with high suspicion how we can diagnose splenosis and avoid unnecessary biopsy and its result related stress.

Identifiants

pubmed: 32215161
doi: 10.1016/j.radcr.2020.02.022
pii: S1930-0433(20)30063-7
pmc: PMC7090284
doi:

Types de publication

Case Reports

Langues

eng

Pagination

602-606

Informations de copyright

© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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Auteurs

Darshan Gandhi (D)

Department of Diagnostic Radiology, St. Vincent's Medical Center at Hartford Healthcare, 2800 Main Street, Bridgeport, CT 06606, USA.

Pranav Sharma (P)

Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, Bridgeport, CT 06606, USA.

Gunjan Garg (G)

Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, Bridgeport, CT 06606, USA.

Swachchhanda Songmen (S)

Department of Diagnostic Radiology, St. Vincent's Medical Center at Hartford Healthcare, 2800 Main Street, Bridgeport, CT 06606, USA.

Shantanu Solanki (S)

Department of Internal Medicine, Guthrie Robert Packer Hospital, Sayre, PA 18840, USA.

Tanveer Singh (T)

Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.

Classifications MeSH