A case of hepatic splenosis in the setting of iron overload; multimodal and literature review

Hepatic splenosis, a rare entity, is the ectopic implantation of splenic tissue into the hepatic parenchyma, most often incidentally seen in patients with a history of splenic trauma and splenectomy. We present a unique case of hepatic splenosis in a patient with hemosiderosis and splenectomy follow...

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Main Authors: Lisa Richardson, Katie Gardner, Steven Eberhardt, William Thompson
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321003320
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author Lisa Richardson
Katie Gardner
Steven Eberhardt
William Thompson
author_facet Lisa Richardson
Katie Gardner
Steven Eberhardt
William Thompson
author_sort Lisa Richardson
collection DOAJ
description Hepatic splenosis, a rare entity, is the ectopic implantation of splenic tissue into the hepatic parenchyma, most often incidentally seen in patients with a history of splenic trauma and splenectomy. We present a unique case of hepatic splenosis in a patient with hemosiderosis and splenectomy following the incidental finding of hepatic masses on pretransplant imaging. Final diagnosis was made based on cross-sectional imaging characteristics matching that of the left upper quadrant splenules alone. We discuss common characteristics of hepatic splenosis on multiple modalities, the effect of iron deposition on the imaging characteristics of hepatic and splenic tissue and how that impacts the differential and diagnosis. This case highlights the unique imaging characteristics hepatic splenosis can have particularly in the setting of hemosiderosis. Hepatic splenosis imaging diagnosis has a significant advantage over tissue diagnosis in terms of decreased risk, time and cost.
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spelling doaj.art-6a2a245dd6ab46ca9ec74ea407d9e8d22022-12-21T23:34:02ZengElsevierRadiology Case Reports1930-04332021-09-0116924992504A case of hepatic splenosis in the setting of iron overload; multimodal and literature reviewLisa Richardson0Katie Gardner1Steven Eberhardt2William Thompson3Corresponding author.; Department of Radiology, UNM Hospital, 2211 Lomas Blvd NE, Albuquerque, NM, USADepartment of Radiology, UNM Hospital, 2211 Lomas Blvd NE, Albuquerque, NM, USADepartment of Radiology, UNM Hospital, 2211 Lomas Blvd NE, Albuquerque, NM, USADepartment of Radiology, UNM Hospital, 2211 Lomas Blvd NE, Albuquerque, NM, USAHepatic splenosis, a rare entity, is the ectopic implantation of splenic tissue into the hepatic parenchyma, most often incidentally seen in patients with a history of splenic trauma and splenectomy. We present a unique case of hepatic splenosis in a patient with hemosiderosis and splenectomy following the incidental finding of hepatic masses on pretransplant imaging. Final diagnosis was made based on cross-sectional imaging characteristics matching that of the left upper quadrant splenules alone. We discuss common characteristics of hepatic splenosis on multiple modalities, the effect of iron deposition on the imaging characteristics of hepatic and splenic tissue and how that impacts the differential and diagnosis. This case highlights the unique imaging characteristics hepatic splenosis can have particularly in the setting of hemosiderosis. Hepatic splenosis imaging diagnosis has a significant advantage over tissue diagnosis in terms of decreased risk, time and cost.http://www.sciencedirect.com/science/article/pii/S1930043321003320Hepatic splenosisSplenosisHemosiderosisSiderosisIron overloadIron deposition
spellingShingle Lisa Richardson
Katie Gardner
Steven Eberhardt
William Thompson
A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
Radiology Case Reports
Hepatic splenosis
Splenosis
Hemosiderosis
Siderosis
Iron overload
Iron deposition
title A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
title_full A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
title_fullStr A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
title_full_unstemmed A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
title_short A case of hepatic splenosis in the setting of iron overload; multimodal and literature review
title_sort case of hepatic splenosis in the setting of iron overload multimodal and literature review
topic Hepatic splenosis
Splenosis
Hemosiderosis
Siderosis
Iron overload
Iron deposition
url http://www.sciencedirect.com/science/article/pii/S1930043321003320
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