A rare diagnosis of a focal liver lesion
Splenosis can be considered as a benign condition due to the presence of heterotopic splenic tissue in abdomen, thorax and pelvis because of a massive splenic trauma or surgery. Here we report the case of a patient with an unknown hepatic mass, chronic hepatitis C, liver cirrhosis and a previous spl...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2015-03-01
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| Series: | Italian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.italjmed.org/index.php/ijm/article/view/506 |
| _version_ | 1797422839984291840 |
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| author | Alberto Del Prato Michela Perinetti Gerardo Dessì Fabio Chiesa Ilan Rosenberg Teseo Stefanini Franco Fedeli Giovanni Berisso Alberto Tagliafico Alessandro Villa |
| author_facet | Alberto Del Prato Michela Perinetti Gerardo Dessì Fabio Chiesa Ilan Rosenberg Teseo Stefanini Franco Fedeli Giovanni Berisso Alberto Tagliafico Alessandro Villa |
| author_sort | Alberto Del Prato |
| collection | DOAJ |
| description | Splenosis can be considered as a benign condition due to the presence of heterotopic splenic tissue in abdomen, thorax and pelvis because of a massive splenic trauma or surgery. Here we report the case of a patient with an unknown hepatic mass, chronic hepatitis C, liver cirrhosis and a previous splenectomy after abdominal trauma. In our case lesion could not be clearly defined by ultrasound, computed tomography and magnetic resonance. Classical features of malignancy were not demonstrated at computed tomography, while at magnetic resonance imaging the differential diagnosis of the lesion appeared quite difficult and debate. Then an ultrasound-guided biopsy demonstrated the liver mass in left hepatic lobe consisted of splenic tissue and some millimetric accessory spleens in the left upper quadrant. So the possibility of an intra-hepatic splenosis should be taken into account in patients with an unknown liver mass and a history of previous abdominal trauma, followed by splenectomy. The conclusive diagnosis of intra-hepatic splenosis was given by ultrasound-guided biopsy. |
| first_indexed | 2024-03-09T07:39:12Z |
| format | Article |
| id | doaj.art-4cd19d3bb25140e89ce39d2c85a8f369 |
| institution | Directory Open Access Journal |
| issn | 1877-9344 1877-9352 |
| language | English |
| last_indexed | 2024-03-09T07:39:12Z |
| publishDate | 2015-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj.art-4cd19d3bb25140e89ce39d2c85a8f3692023-12-03T05:07:51ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522015-03-0191717610.4081/itjm.2015.506458A rare diagnosis of a focal liver lesionAlberto Del Prato0Michela Perinetti1Gerardo Dessì2Fabio Chiesa3Ilan Rosenberg4Teseo Stefanini5Franco Fedeli6Giovanni Berisso7Alberto Tagliafico8Alessandro Villa9Radiology Department, IRCCS AOU San Martino-IST, University of Genova, GenovaRadiology Department, IRCCS AOU San Martino-IST, University of Genova, GenovaOspedale Sant’Andrea, La SpeziaOspedale San Bartolomeo, Sarzana (SP)Ospedale San Bartolomeo, Sarzana (SP)Ospedale Sant’Andrea, La SpeziaOspedale Sant’Andrea, La SpeziaOspedale San Bartolomeo, Sarzana (SP)Radiology Department, IRCCS AOU San Martino-IST, University of Genova, GenovaOspedale San Bartolomeo, Sarzana (SP)Splenosis can be considered as a benign condition due to the presence of heterotopic splenic tissue in abdomen, thorax and pelvis because of a massive splenic trauma or surgery. Here we report the case of a patient with an unknown hepatic mass, chronic hepatitis C, liver cirrhosis and a previous splenectomy after abdominal trauma. In our case lesion could not be clearly defined by ultrasound, computed tomography and magnetic resonance. Classical features of malignancy were not demonstrated at computed tomography, while at magnetic resonance imaging the differential diagnosis of the lesion appeared quite difficult and debate. Then an ultrasound-guided biopsy demonstrated the liver mass in left hepatic lobe consisted of splenic tissue and some millimetric accessory spleens in the left upper quadrant. So the possibility of an intra-hepatic splenosis should be taken into account in patients with an unknown liver mass and a history of previous abdominal trauma, followed by splenectomy. The conclusive diagnosis of intra-hepatic splenosis was given by ultrasound-guided biopsy.http://www.italjmed.org/index.php/ijm/article/view/506splenosis, liver cirrhosis, focal lesion, splenectomy, trauma. |
| spellingShingle | Alberto Del Prato Michela Perinetti Gerardo Dessì Fabio Chiesa Ilan Rosenberg Teseo Stefanini Franco Fedeli Giovanni Berisso Alberto Tagliafico Alessandro Villa A rare diagnosis of a focal liver lesion Italian Journal of Medicine splenosis, liver cirrhosis, focal lesion, splenectomy, trauma. |
| title | A rare diagnosis of a focal liver lesion |
| title_full | A rare diagnosis of a focal liver lesion |
| title_fullStr | A rare diagnosis of a focal liver lesion |
| title_full_unstemmed | A rare diagnosis of a focal liver lesion |
| title_short | A rare diagnosis of a focal liver lesion |
| title_sort | rare diagnosis of a focal liver lesion |
| topic | splenosis, liver cirrhosis, focal lesion, splenectomy, trauma. |
| url | http://www.italjmed.org/index.php/ijm/article/view/506 |
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