Intrahepatic splenosis mimicking hepatic neoplasia
| Autor: | Gabriel Neves Saad Teles, Raphael Raphe, Paulo Eduardo Zerati Monteiro |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Splenectomy 030230 surgery Asymptomatic Article Lesion 03 medical and health sciences 0302 clinical medicine Carcinoembryonic antigen Laparotomy medicine Neoplasia biology business.industry Liver 030220 oncology & carcinogenesis Splenic Tissue biology.protein Surgery Histopathology Cholecystectomy Radiology medicine.symptom business Splenosis |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2018.02.021 |
| Popis: | Highlights • Hepatic splenosis is a rare clinical occurrence. • Hepatic splenosis mimics neoplasia. • Focal hepatic lesions must be differentially diagnosed in patients whose spleens have been removed. • The diagnosis cannot be made until after surgical resection. Introduction Splenosis is defined as the heterotopic autoimplantation of splenic tissue following trauma to or surgery on the spleen. Clinical case We present a case of an asymptomatic 73-year-old male in whom hypervascular lesions were detected during routine exams. The patient reported a history of carotid artery surgery and cholecystectomy; he had a laparotomy incision from childhood but was unaware of the reason for it. The patient exhibited slightly elevated carcinoembryonic antigen (CEA) levels. Histopathology revealed intrahepatic heterotopic splenic parenchyma, with no evidence of neoplasia in either of the two lesions, the diameters of which were 1.5 cm and 3.6 cm. Patient received outpatient follow-up care for 24 months and experienced no complications. Discussion Our clinical, laboratory, and imaging exams failed to reveal the etiology of the lesion. Because the masses were hypervascular lesions, a percutaneous liver biopsy was not feasible. Conclusion Through this report, we emphasize the importance of considering intrahepatic splenosis as a remote possibility in patients with hepatic nodules who have a history of splenectomy. |
| Databáze: | OpenAIRE |
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