A Rare Red Herring: Intrahepatic Splenosis Masquerading as Hepatocellular Carcinoma.

hepatocellular carcinoma intrahepatic splenosis radiology splenectomy

Journal

ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 10 04 2023
accepted: 21 06 2023
medline: 13 7 2023
pubmed: 13 7 2023
entrez: 13 7 2023
Statut: epublish

Résumé

Splenosis is defined as viable splenic tissue that is autotransplanted into other compartments in the body. Intrahepatic splenosis is a rare diagnosis that can be difficult for clinicians to identify. The most common causes of splenosis include abdominal trauma and splenectomy. While most patients with intrahepatic splenosis are asymptomatic, in the presence of risk factors of hepatocellular carcinoma, it is paramount to rule out malignancy. In this report, we present a patient with imaging findings concerning for hepatocellular carcinoma, ultimately diagnosed with percutaneous biopsy and technetium-99m-tagged heat-damaged red blood cell scintigraphy-proven intrahepatic splenosis.

Identifiants

pubmed: 37441623
doi: 10.14309/crj.0000000000001103
pii: ACGCR-23-0311
pmc: PMC10335820
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e01103

Informations de copyright

© 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Auteurs

Justin Bilello (J)

Internal Medicine Residency, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.

Ozlem Kulak (O)

Department of Pathology & Genomic Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.

Santosh Selvarajan (S)

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA.

Danielle Tholey (D)

Division of Gastroenterology & Hepatology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.

Jesse Civan (J)

Division of Gastroenterology & Hepatology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.

Classifications MeSH