Sclerosing angiomatoid nodular transformation of the spleen: A case report of thrombocytopenia and a hypervascular splenic mass

Sclerosing Angiomatoid Nodular Transformation of the spleen is a benign vascular lesion with no known etiology. We report a new case in a symptomatic twenty-one-year old female with thrombocytopenia and a hypervascular splenic mass discovered on ultrasound. Two MRIs were performed prior to hand-assi...

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Bibliographic Details
Published in:Radiology case reports 2019-04, Vol.14 (4), p.521-525
Main Authors: Gooch, Cory, Gaballah, Ayman H, Nelson, Justin, Wade, Marcus, Chen, Rong
Format: Article
Language:English
Subjects:
Gastrointestinal
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Summary:Sclerosing Angiomatoid Nodular Transformation of the spleen is a benign vascular lesion with no known etiology. We report a new case in a symptomatic twenty-one-year old female with thrombocytopenia and a hypervascular splenic mass discovered on ultrasound. Two MRIs were performed prior to hand-assisted laparoscopic splenectomy. The specimen was sent for histopathologic analysis with confirmation of final diagnosis from an outside facility. Sclerosing Angiomatoid Nodular Transformation of the spleen is most often discovered incidentally as a solitary splenic mass. The presence of a spoke-wheel pattern should alert the radiologist to this as a possibility. Ultrasound and MR imaging findings can be used to accurately diagnose cases of splenic Sclerosing Angiomatoid Nodular Transformation. Susceptibility artifact within the lesion may be directly related to the amount of iron deposition.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2018.08.035