A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
| Autor: | Steven C. Eberhardt, William Thompson, Lisa Richardson, Katie Gardner |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Hemosiderosis Siderosis medicine.medical_treatment Splenectomy Iron deposition R895-920 Case Report Hepatic masses MRI Magnetic Resonance Imaging HS Hepatic Splenosis Medical physics. Medical radiology. Nuclear medicine medicine Iron overload Imaging diagnosis Radiology Nuclear Medicine and imaging ESRD End Stage Renal Disease business.industry Rare entity CT Computed Tomography medicine.disease US Ultrasound Splenic Tissue Tissue diagnosis Radiology business Hepatic splenosis Splenosis Tc-99m-DRBC Tc-99m labelled heat-denatured red blood cells |
| Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 16, Iss 9, Pp 2499-2504 (2021) |
| ISSN: | 1930-0433 |
| DOI: | 10.1016/j.radcr.2021.05.037 |
| Popis: | Hepatic splenosis, a rare entity, is the ectopic implantation of splenic tissue into the hepatic parenchyma, most often incidentally seen in patients with a history of splenic trauma and splenectomy. We present a unique case of hepatic splenosis in a patient with hemosiderosis and splenectomy following the incidental finding of hepatic masses on pretransplant imaging. Final diagnosis was made based on cross-sectional imaging characteristics matching that of the left upper quadrant splenules alone. We discuss common characteristics of hepatic splenosis on multiple modalities, the effect of iron deposition on the imaging characteristics of hepatic and splenic tissue and how that impacts the differential and diagnosis. This case highlights the unique imaging characteristics hepatic splenosis can have particularly in the setting of hemosiderosis. Hepatic splenosis imaging diagnosis has a significant advantage over tissue diagnosis in terms of decreased risk, time and cost. |
| Databáze: | OpenAIRE |
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