Intrahepatic splenosis demonstrated by diffusion weighted MRI with histologic confirmation

Darshan Gandhi, Pranav Sharma, Gunjan Garg, Swachchhanda Songmen, Shantanu Solanki, Tanveer Singh

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)602-606
Number of pages5
JournalRadiology Case Reports
Volume15
Issue number5
DOIs
StatePublished - May 2020
Externally publishedYes

Keywords

  • Accessory spleen
  • Diffusion weighted imaging (DWI)
  • Intrahepatic splenosis
  • Metastasis
  • Pelvic Splenosis
  • Peritoneal splenosis
  • Splenic trauma
  • Splenosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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