Korean J Gastroenterol.  2014 Sep;64(3):173-175. 10.4166/kjg.2014.64.3.173.

Splenosis Mimicking Hepatocellular Carcinoma

Affiliations
  • 1Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. chung50@dsmc.or.kr

Abstract

No abstract available.


MeSH Terms

Carcinoma, Hepatocellular/diagnosis
Diagnosis, Differential
Humans
Liver Neoplasms/diagnosis
Magnetic Resonance Imaging
Male
Middle Aged
Splenosis/*diagnosis/surgery
Tomography, X-Ray Computed

Figure

  • Fig. 1. Abdominal computed tomography scan findings. (A) An 1.8 cm sized enhancing nodule (arrow) is noted between segment 3 and 4 on arterial phase. (B) This nodule appears isodensity on delayed phase.

  • Fig. 2. Abdominal magnetic resonance image findings. (A) An 1.8 cm sized nodule located between segment 3 and 4 shows high signal intensity on T2 weighted image. (B) This nodule is enhanced on arterial phase, and (C) appears as a defect on hepatobiliary phase (arrow).

  • Fig. 3. Resected tumor after laparoscopic tumorectomy. It shows a well demarcated, dark red solid mass measuring 2.3×1.5×1.4 cm in size.


Cited by  1 articles

Intrahepatic Splenosis Mimicking Hepatocellular Carcinoma: A Case Report
Eunjin Hwang, Seonjeong Min, Young Chul Kim, Jung-Ah Choi
J Korean Soc Radiol. 2019;80(2):359-364.    doi: 10.3348/jksr.2019.80.2.359.


Reference

References

1. Buchbinder JH, Lipkoff CJ. Splenosis: multiple peritoneal splenic implants following abdominal injury. Surgery. 1939; 6:927–934.
2. Halpert B, Gyorkey F. Lesions observed in accessory spleens of 311 patients. Am J Clin Pathol. 1959; 32:165–168.
Article
3. Brewster DC. Splenosis. Report of two cases and review of the literature. Am J Surg. 1973; 126:14–19.
4. Al-Ahmadi M, Brundage S, Brody F, Jacobs L, Sackier JM. Splenosis of the mesoappendix: case report and review of the literature. J R Coll Surg Edinb. 1998; 43:200–202.
5. Schenkein DP, Ahmed E. Case 29-1995: a 65-year-old man with mediastinal Hodgkin's disease and a pelvic mass. N Engl J Med. 1995; 333:784–791.
6. Buchino JJ, Buchino JJ. Thoracic splenosis. South Med J. 1998; 91:1054–1056.
Article
7. Carr NJ, Turk EP. The histological features of splenosis. Histopathology. 1992; 21:549–553.
Article
8. Hayward I, Mindelzun RE, Jeffrey RB. Intrapancreatic accessory spleen mimicking pancreatic mass on CT. J Comput Assist Tomogr. 1992; 16:984–985.
Article
9. Servadio Y, Leibovitch I, Apter S, Mor Y, Goldwasser B. Symptomatic heterotopic splenic tissue in the left renal fossa. Eur Urol. 1994; 25:174–176.
Article
10. Azar GB, Awwad JT, Mufarrij IK. Accessory spleen presenting as adnexal mass. Acta Obstet Gynecol Scand. 1993; 72:587–588.
Article
11. Wold PB, Farrell MA. Pleural nodularity in a patient with pyrexia of unknown origin. Chest. 2002; 122:718–720.
Article
12. Ovnatanian KI. Splenosis of the pericardium. Vestn Khir Im II Grek. 1966; 97:59–62.
13. Baack BR, Varsa EW, Burgdorf WH, Blaugrund AC. Splenosis. A report of subcutaneous involvement. Am J Dermatopathol. 1990; 12:585–588.
14. Rickert CH, Maasjosthusmann U, Probst-Cousin S, August C, Gullotta F. A unique case of cerebral spleen. Am J Surg Pathol. 1998; 22:894–896.
Article
15. Kwok CM, Chen YT, Lin HT, Su CH, Liu YS, Chiu YC. Portal vein en-trance of splenic erythrocytic progenitor cells and local hypoxia of liver, two events cause intrahepatic splenosis. Med Hypothe-ses. 2006; 67:1330–1332.
Article
16. Heider J, Winter P, Kreft B. Symptomatic heterotopic splenic tissue in the adrenal gland area. Aktuelle Radiol. 1998; 8:135–137.
17. Cuckow P. Spontaneous rupture: a new complication of splenosis. J R Coll Surg Edinb. 1991; 36:186–187.
18. Basile RM, Morales JM, Zupanec R. Splenosis. A cause of massive gastrointestinal hemorrhage. Arch Surg. 1989; 124:1087–1089.
19. Horger M, Eschmann SM, Lengerke C, Claussen CD, Pfannen-berg C, Bares R. Improved detection of splenosis in patients with haematological disorders: the role of combined transmission- emission tomography. Eur J Nucl Med Mol Imaging. 2003; 30:316–319.
20. Di Costanzo GG, Picciotto FP, Marsilia GM, Ascione A. Hepatic splenosis misinterpreted as hepatocellular carcinoma in cir-rhotic patients referred for liver transplantation: report of two cases. Liver Transpl. 2004; 10:706–709.
Article
21. Yammine JN, Yatim A, Barbari A. Radionuclide imaging in thoracic splenosis and a review of the literature. Clin Nucl Med. 2003; 28:121–123.
Article
Full Text Links
  • KJG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr