Sclerosing angiomatoid nodular transformation of the spleen: A case report of thrombocytopenia and a hypervascular splenic mass

INTRODUCTION: Sclerosing Angiomatoid Nodular Transformation of the spleen is a benign vascular lesion with no known etiology. PRESENTATION OF CASE: We report a new case in a symptomatic twenty-one-year old female with thrombocytopenia and a hypervascular splenic mass discovered on ultrasound. Two MRIs were performed prior to hand-assisted laparoscopic splenectomy. The specimen was sent for histopathologic analysis with confirmation of final diagnosis from an outside facility. DISCUSSION: Sclerosing Angiomatoid Nodular Transformation of the spleen is most often discovered incidentally as a solitary splenic mass. The presence of a spoke-wheel pattern should alert the radiologist to this as a possibility. CONCLUSION: Ultrasound and MR imaging findings can be used to accurately diagnose cases of splenic Sclerosing Angiomatoid Nodular Transformation. Susceptibility artifact within the lesion may be directly related to the amount of iron deposition.