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.

• Authors: Jerrin Varghese, Jill Bergson, Omar Yaipen
• Journal: Journal of computer assisted tomography (J Comput Assist Tomogr) 2018 Sep/Oct Vol. 42 Issue 5 Pg. 730-731 ISSN: 1532-3145 [Electronic] United States
• PMID: 29958200 (Publication Type: Case Reports, Journal Article)

Topics

• Diagnosis, Differential
• Humans
• Incidental Findings
• Liver (diagnostic imaging)
• Liver Diseases (diagnostic imaging)
• Male
• Middle Aged
• Postoperative Complications (diagnostic imaging)
• Splenectomy
• Splenosis (diagnostic imaging)
• Tomography, X-Ray Computed (methods)