Cargando…

Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report

We report on a case of hepatic splenosis. A 32-yr-old man underwent a splenectomy due to trauma at the age of 6. He had been diagnosed as being a chronic hepatitis B-virus carrier 16 yr prior to the surgery. The dynamic computer tomography (CT) performed due to elevated serum alpha-fetoprotein (128...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Gi-Hong, Ju, Man-Ki, Kim, June-Young, Kang, Chang-Moo, Kim, Kyung-Sik, Choi, Jin-Sub, Han, Kwang-Hyub, Park, Mi-Suk, Park, Young-Nyun, Lee, Woo-Jung, Kim, Byong-Ro
Formato: Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2526445/
https://www.ncbi.nlm.nih.gov/pubmed/18437023
http://dx.doi.org/10.3346/jkms.2008.23.2.336
_version_ 1782158759111426048
author Choi, Gi-Hong
Ju, Man-Ki
Kim, June-Young
Kang, Chang-Moo
Kim, Kyung-Sik
Choi, Jin-Sub
Han, Kwang-Hyub
Park, Mi-Suk
Park, Young-Nyun
Lee, Woo-Jung
Kim, Byong-Ro
author_facet Choi, Gi-Hong
Ju, Man-Ki
Kim, June-Young
Kang, Chang-Moo
Kim, Kyung-Sik
Choi, Jin-Sub
Han, Kwang-Hyub
Park, Mi-Suk
Park, Young-Nyun
Lee, Woo-Jung
Kim, Byong-Ro
author_sort Choi, Gi-Hong
collection PubMed
description We report on a case of hepatic splenosis. A 32-yr-old man underwent a splenectomy due to trauma at the age of 6. He had been diagnosed as being a chronic hepatitis B-virus carrier 16 yr prior to the surgery. The dynamic computer tomography (CT) performed due to elevated serum alpha-fetoprotein (128 ng/mL) demonstrated two hepatic nodules, which were located near the liver capsule. A nodule in Segment IVa had a slight enhancement during both the arterial and portal phases, and another nodule in Segment VI showed a slight enhancement only in the portal phases. Dynamic magnetic resonance imaging (MRI) of the mass in Segment VI showed enhanced development in the arterial phases and slight hyperintensivity to the liver parenchyma in the portal phases. These imaging findings suggested a hypervascular tumor in the liver, which could be either focal nodular hyperplasia, adenoma, or hepatocellular carcinoma (HCC). Even though these lesions were diagnosed as HCC, some of the findings were not compatible with typical HCC. On dynamic CT and MRI, all lesions showed a slight arterial enhancement and did not show early venous washout. All lesions were located near the liver capsule. These findings, along with a history of splenectomy, suggested a diagnosis of hepatic splenosis.
format Text
id pubmed-2526445
institution National Center for Biotechnology Information
language English
publishDate 2008
publisher The Korean Academy of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-25264452008-11-06 Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report Choi, Gi-Hong Ju, Man-Ki Kim, June-Young Kang, Chang-Moo Kim, Kyung-Sik Choi, Jin-Sub Han, Kwang-Hyub Park, Mi-Suk Park, Young-Nyun Lee, Woo-Jung Kim, Byong-Ro J Korean Med Sci Case Report We report on a case of hepatic splenosis. A 32-yr-old man underwent a splenectomy due to trauma at the age of 6. He had been diagnosed as being a chronic hepatitis B-virus carrier 16 yr prior to the surgery. The dynamic computer tomography (CT) performed due to elevated serum alpha-fetoprotein (128 ng/mL) demonstrated two hepatic nodules, which were located near the liver capsule. A nodule in Segment IVa had a slight enhancement during both the arterial and portal phases, and another nodule in Segment VI showed a slight enhancement only in the portal phases. Dynamic magnetic resonance imaging (MRI) of the mass in Segment VI showed enhanced development in the arterial phases and slight hyperintensivity to the liver parenchyma in the portal phases. These imaging findings suggested a hypervascular tumor in the liver, which could be either focal nodular hyperplasia, adenoma, or hepatocellular carcinoma (HCC). Even though these lesions were diagnosed as HCC, some of the findings were not compatible with typical HCC. On dynamic CT and MRI, all lesions showed a slight arterial enhancement and did not show early venous washout. All lesions were located near the liver capsule. These findings, along with a history of splenectomy, suggested a diagnosis of hepatic splenosis. The Korean Academy of Medical Sciences 2008-04 2008-04-20 /pmc/articles/PMC2526445/ /pubmed/18437023 http://dx.doi.org/10.3346/jkms.2008.23.2.336 Text en Copyright © 2008 The Korean Academy of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Choi, Gi-Hong
Ju, Man-Ki
Kim, June-Young
Kang, Chang-Moo
Kim, Kyung-Sik
Choi, Jin-Sub
Han, Kwang-Hyub
Park, Mi-Suk
Park, Young-Nyun
Lee, Woo-Jung
Kim, Byong-Ro
Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title_full Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title_fullStr Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title_full_unstemmed Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title_short Hepatic Splenosis Preoperatively Diagnosed as Hepatocellular Carcinoma in a Patient with Chronic Hepatitis B: A Case Report
title_sort hepatic splenosis preoperatively diagnosed as hepatocellular carcinoma in a patient with chronic hepatitis b: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2526445/
https://www.ncbi.nlm.nih.gov/pubmed/18437023
http://dx.doi.org/10.3346/jkms.2008.23.2.336
work_keys_str_mv AT choigihong hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT jumanki hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT kimjuneyoung hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT kangchangmoo hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT kimkyungsik hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT choijinsub hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT hankwanghyub hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT parkmisuk hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT parkyoungnyun hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT leewoojung hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport
AT kimbyongro hepaticsplenosispreoperativelydiagnosedashepatocellularcarcinomainapatientwithchronichepatitisbacasereport