Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings
The aim of this case report is to present real-time CEUS-guided biopsy for diagnosing rare benign splenic pathologies after inconclusive findings on cross-sectional imaging. We present the case of a 50-year-old male patient who received a contrast-enhanced computed tomography scan of the thorax duri...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2021-08-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | https://doi.org/10.15557/jou.2021.0039 |
| _version_ | 1828751907064119296 |
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| author | Lerchbaumer Markus Herbert Althoff Christian E. Fischer Thomas |
| author_facet | Lerchbaumer Markus Herbert Althoff Christian E. Fischer Thomas |
| author_sort | Lerchbaumer Markus Herbert |
| collection | DOAJ |
| description | The aim of this case report is to present real-time CEUS-guided biopsy for diagnosing rare benign splenic pathologies after inconclusive findings on cross-sectional imaging. We present the case of a 50-year-old male patient who received a contrast-enhanced computed tomography scan of the thorax during the evaluation for lung transplant due to lung fibrosis, with incidental finding of disseminated hypodense splenic lesions. During follow-up imaging, the patient did not tolerate a complete MRI examination, and two acquired pulse sequences did not confirm the final diagnosis. While CT-guided biopsy revealed no results, CEUS-guided target biopsy with repeated contrast injections showed a benign littoral cell angioma of the spleen. The use of real-time CEUS-guided target biopsy during lesion washout may be a useful tool to improve the accuracy of biopsy and accelerate the diagnosis in patients with parenchymal lesions after inconclusive cross-sectional imaging findings which may pose a challenge for CT-guided biopsy. |
| first_indexed | 2024-12-10T21:00:36Z |
| format | Article |
| id | doaj.art-2f0de683b490408eac2401df73442541 |
| institution | Directory Open Access Journal |
| issn | 2451-070X |
| language | English |
| last_indexed | 2024-12-10T21:00:36Z |
| publishDate | 2021-08-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-2f0de683b490408eac2401df734425412022-12-22T01:33:49ZengSciendoJournal of Ultrasonography2451-070X2021-08-01218624424710.15557/jou.2021.0039Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findingsLerchbaumer Markus Herbert0Althoff Christian E.1Fischer Thomas2Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humbold-Universität zu Berlin, and Berlin Institute of Health, Department of Radiology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humbold-Universität zu Berlin, and Berlin Institute of Health, Department of Radiology, Berlin, GermanyCharité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humbold-Universität zu Berlin, and Berlin Institute of Health, Department of Radiology, Berlin, GermanyThe aim of this case report is to present real-time CEUS-guided biopsy for diagnosing rare benign splenic pathologies after inconclusive findings on cross-sectional imaging. We present the case of a 50-year-old male patient who received a contrast-enhanced computed tomography scan of the thorax during the evaluation for lung transplant due to lung fibrosis, with incidental finding of disseminated hypodense splenic lesions. During follow-up imaging, the patient did not tolerate a complete MRI examination, and two acquired pulse sequences did not confirm the final diagnosis. While CT-guided biopsy revealed no results, CEUS-guided target biopsy with repeated contrast injections showed a benign littoral cell angioma of the spleen. The use of real-time CEUS-guided target biopsy during lesion washout may be a useful tool to improve the accuracy of biopsy and accelerate the diagnosis in patients with parenchymal lesions after inconclusive cross-sectional imaging findings which may pose a challenge for CT-guided biopsy.https://doi.org/10.15557/jou.2021.0039ceuscontrast-enhanced ultrasoundceus-guided target biopsylittoral cell angiomaspleen |
| spellingShingle | Lerchbaumer Markus Herbert Althoff Christian E. Fischer Thomas Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings Journal of Ultrasonography ceus contrast-enhanced ultrasound ceus-guided target biopsy littoral cell angioma spleen |
| title | Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings |
| title_full | Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings |
| title_fullStr | Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings |
| title_full_unstemmed | Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings |
| title_short | Real-time CEUS-guided biopsy revealing a littoral cell angioma of the spleen after inconclusive CT and MRI findings |
| title_sort | real time ceus guided biopsy revealing a littoral cell angioma of the spleen after inconclusive ct and mri findings |
| topic | ceus contrast-enhanced ultrasound ceus-guided target biopsy littoral cell angioma spleen |
| url | https://doi.org/10.15557/jou.2021.0039 |
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