Hepatic splenosis: Rare yet important - A case report and literature review

The Journal of International Medical Research
Xianzhang LuoNianqiao Gong

Abstract

Hepatic splenosis is an uncommon condition that occurs following traumatic splenic rupture or splenectomy. The case of a 41-year-old male patient with multiple isolated liver masses indistinguishable from primary and metastatic liver tumours is reported. Following laparotomy, the liver lesions were resected and histopathology confirmed a diagnosis of hepatic splenosis. At an 18-month follow-up examination, no abnormalities in routine blood test, liver function, and liver computed tomography (CT) scanning were observed. After review of the literature, the following diagnostic criteria for hepatic splenosis are proposed: (1) a history of splenic trauma or splenectomy; (2) lesion(s) with a surrounding rim, particularly near the liver capsule identified by CT scanning; (3) findings on superparamagnetic iron oxide-enhanced magnetic resonance imaging or technetium-99m heat-damaged red cell scanning; and (4) histopathological findings (needle biopsy or surgical pathology). The following diagnostic process is also proposed: suspect diagnosis when criteria 1 and 2 are met; make diagnosis when criterion 3 is met; confirm diagnosis when criterion 4 is met. Laparotomy is recommended for either diagnosis or treatment when invasive procedure...Continue Reading

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Citations

Feb 28, 2020·Abdominal Radiology·Shuichi KawadaKouichi Mori
Feb 9, 2021·Zeitschrift für Gastroenterologie·Michael DölleSteffen Zender
Nov 17, 2020·World Journal of Gastrointestinal Surgery·Claudio IsopiGiorgio Ercolani
Jan 26, 2022·Abdominal Radiology·Travis SmootAyman H Gaballah

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