Intrahepatic splenosis demonstrated by diffusion weighted MRI with histologic confirmation

Acquired ectopic splenic tissue is called splenosis, which is common after the history of trauma or surgical exploration. We present a rare case of intrahepatic splenosis in 36-year-old male patient mimicking a liver neoplasm on imaging however presented with left flank pain for 5 months and had rem...

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Bibliographic Details
Published in:Radiology case reports 2020-05, Vol.15 (5), p.602-606
Main Authors: Gandhi, Darshan, Sharma, Pranav, Garg, Gunjan, Songmen, Swachchhanda, Solanki, Shantanu, Singh, Tanveer
Format: Article
Language:English
Subjects:
Accessory spleen
Diffusion weighted imaging (DWI)
Gastrointestinal
Intrahepatic splenosis
Metastasis
Pelvic Splenosis
Peritoneal splenosis
Splenic trauma
Splenosis
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Summary:Acquired ectopic splenic tissue is called splenosis, which is common after the history of trauma or surgical exploration. We present a rare case of intrahepatic splenosis in 36-year-old male patient mimicking a liver neoplasm on imaging however presented with left flank pain for 5 months and had remote history of splenectomy after splenic rupture from trauma. We discuss various imaging modalities and the role of various magnetic resonance imaging sequences and nuclear medicine examination. We also discuss the differentiating features to be kept to make the correct diagnosis along with a brief review of literature. We mentioned signal intensities of splenic lesions and normal signal intensity of spleen in different magnetic resonance imaging sequences and with high suspicion how we can diagnose splenosis and avoid unnecessary biopsy and its result related stress.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.02.022