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Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy
Hepatic splenosis was first described in 1939 and is a rare condition that results from splenic trauma or splenectomy. A 43-year-old man with a past medical history significant for a prior splenectomy was admitted to the hospital due to right upper quadrant pain for two days. Magnetic resonance imag...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044488/ https://www.ncbi.nlm.nih.gov/pubmed/30027010 http://dx.doi.org/10.7759/cureus.2618 |
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author | Guzman Rojas, Patricia Parikh, Jignesh Mahne, Anton Vishnubhotla, Priya Oharriz, Juan J |
author_facet | Guzman Rojas, Patricia Parikh, Jignesh Mahne, Anton Vishnubhotla, Priya Oharriz, Juan J |
author_sort | Guzman Rojas, Patricia |
collection | PubMed |
description | Hepatic splenosis was first described in 1939 and is a rare condition that results from splenic trauma or splenectomy. A 43-year-old man with a past medical history significant for a prior splenectomy was admitted to the hospital due to right upper quadrant pain for two days. Magnetic resonance imaging (MRI) of the abdomen suggested features of hepatic adenoma, however, a percutaneous biopsy showed the mass within the liver to be a discrete collection of splenic tissue, apparently the result of a traumatic splenic rupture years ago. Hepatic splenosis is a rare entity, and due to the asymptomatic nature of this condition, most cases are found incidentally after different imaging modalities are done. The management of this entity is based on conservative measures. We report this case to emphasize that in the appropriate clinical setting, hepatic splenosis should be considered in the differential diagnosis of a patient with a homogenous well-circumscribed liver mass. |
format | Online Article Text |
id | pubmed-6044488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-60444882018-07-19 Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy Guzman Rojas, Patricia Parikh, Jignesh Mahne, Anton Vishnubhotla, Priya Oharriz, Juan J Cureus Pathology Hepatic splenosis was first described in 1939 and is a rare condition that results from splenic trauma or splenectomy. A 43-year-old man with a past medical history significant for a prior splenectomy was admitted to the hospital due to right upper quadrant pain for two days. Magnetic resonance imaging (MRI) of the abdomen suggested features of hepatic adenoma, however, a percutaneous biopsy showed the mass within the liver to be a discrete collection of splenic tissue, apparently the result of a traumatic splenic rupture years ago. Hepatic splenosis is a rare entity, and due to the asymptomatic nature of this condition, most cases are found incidentally after different imaging modalities are done. The management of this entity is based on conservative measures. We report this case to emphasize that in the appropriate clinical setting, hepatic splenosis should be considered in the differential diagnosis of a patient with a homogenous well-circumscribed liver mass. Cureus 2018-05-13 /pmc/articles/PMC6044488/ /pubmed/30027010 http://dx.doi.org/10.7759/cureus.2618 Text en Copyright © 2018, Guzman Rojas et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pathology Guzman Rojas, Patricia Parikh, Jignesh Mahne, Anton Vishnubhotla, Priya Oharriz, Juan J Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title | Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title_full | Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title_fullStr | Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title_full_unstemmed | Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title_short | Where is My Spleen? – A Case of Splenosis Diagnosed Years Later after Splenectomy |
title_sort | where is my spleen? – a case of splenosis diagnosed years later after splenectomy |
topic | Pathology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044488/ https://www.ncbi.nlm.nih.gov/pubmed/30027010 http://dx.doi.org/10.7759/cureus.2618 |
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