Intrahepatic Splenosis: Incidental Liver Lesion after Splenectomy.

Abstract:

:We describe the case of a 50-year-old man with history of remote splenectomy who underwent routine lung cancer screening chest computed tomography and was incidentally found to have a liver lesion. Dedicated liver protocol computed tomography demonstrated "archiform" enhancement pattern in the arterial phase and homogenous filling-in enhancement on portal venous and delayed phases. Multiple other smaller enhancing intraperitoneal lesions were also found. These findings along with history of splenectomy confirmed a diagnosis of intrahepatic and intraperitoneal splenosis and helped avoid biopsy. Intrahepatic splenules can be challenging to diagnose owing to its unusual location and similarity in appearance to a liver neoplasm or metastasis. However, careful evaluation of enhancement pattern and review of medical history can lead to an accurate diagnosis and avoidance of invasive biopsy.

journal_name

J Comput Assist Tomogr

authors

Varghese J,Bergson J,Yaipen O

doi

10.1097/RCT.0000000000000762

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

730-731

issue

5

eissn

0363-8715

issn

1532-3145

journal_volume

42

pub_type

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