Abdominal Splenosis Mimicking Hepatic Tumor: A Case Report

The Kaohsiung Journal of Medical Sciences - Tập 24 - Trang 602-607 - 2008
Ming-Lun Yeh1, Liang-Yen Wang1, Ching-I Huang1, Ming-Yen Hsieh1, Zu-Yau Lin1, Wan-Long Chuang1, Wen-Tsan Chang2, Chun-Chieh Wu3, Chiao-Yun Chen4
1Division of Hepato-biliary-pancreatic Medicine, Department of Internal Medicine, Kaohsiung, Taiwan
2Division of Hepato-biliary-pancreatic Surgery, Department of Surgery, Kaohsiung, Taiwan
3Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
4Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Tóm tắt

Diagnosis of abdominal splenosis is often undiagnosed until treatment for splenic rupture or splenectomy. This report describes a patient with splenosis mimicking hepatic tumor. The patient had a history of splenic trauma with splenectomy and chronic hepatitis C. After routine abdominal ultrasound revealed a liver nodule, further imaging studies, including magnetic resonance imaging, computed tomography and angiography, were performed. After the patient eventually underwent surgery, pathology revealed splenic tissue. Despite its distinguishable clinical features, splenosis is difficult to identify by modern imaging modalities. Therefore, accurate and timely diagnosis of this disease requires constant vigilance.


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