Intrahepatic Splenosis in a Chronic Hepatitis C Patient with no History of Splenic Trauma Mimicking Hepatocellular Carcinoma

被引:17
|
作者
Sato, Naoya [1 ,2 ]
Abe, Tsuyoshi [1 ]
Suzuki, Nobuyasu [1 ]
Waragai, Mitsuru [1 ]
Teranishi, Yasushi [1 ]
Takano, Yoshinao [1 ]
Sato, Atai [1 ]
Azami, Ayaka [1 ]
Gotoh, Mitsukazu [2 ]
机构
[1] Southern Tohoku Res Inst Neurosci, Dept Surg, Koriyama, Fukushima, Japan
[2] Fukushima Med Univ, Dept Regenerat Surg, Fukushima, Japan
来源
AMERICAN JOURNAL OF CASE REPORTS | 2014年 / 15卷
关键词
Hepatitis; Chronic; Liver Neoplasms; Splenosis;
D O I
10.12659/AJCR.890999
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Rare disease Background: Intrahepatic splenosis (IHS) is the autotransplantation of splenic tissue that mostly develops after abdominal injury and is often misdiagnosed as hepatocellular carcinoma (HCC) because of similarities in radiological features. We had an opportunity to treat an extremely rare case of intrahepatic splenosis, which were found in a patient without any history of splenic injury. To the best of our knowledge, this is the first such case report in the world. Case Report: A 58-year-old man with chronic hepatitis C was referred to our hospital for further examination of liver function abnormality. Abdominal ultrasonography incidentally revealed a low echoic tumor in the posterior segment of the liver, with high echoic capsule, which is possibly different from tumor capsule of HCC, known as halo. Abdominal contrast-enhanced computed tomography and gadoxetic acid-enhanced magnetic resonance imaging showed that the tumor had an inhomogeneous enhancement in the arterial phase and diminished enhancement in the equilibrium phase, diagnosed as HCC. The patient underwent right lateral segmentectomy of the liver, and histopathological study confirmed a diagnosis of intrahepatic splenosis. Conclusions: This case presents a new understanding of IHS in a patient without any splenic injury. We also focused on the differences in echo patterns of the tumor capsule between HCC and IHS, which can be used to efficiently diagnose IHS.
引用
收藏
页码:416 / 420
页数:5
相关论文
共 50 条
  • [1] Intrahepatic splenosis mimicking hepatocellular carcinoma
    Rosi, Martina
    Adotti, Valentina
    Citone, Michele
    Marra, Fabio
    UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 2024, 12 (03) : 412 - 414
  • [2] Intrahepatic Splenosis Mimicking Hepatocellular Carcinoma
    Guo, Shiduo
    Liu, Jun
    Zheng, Shunzhen
    CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2022, 20 (05) : E915 - E916
  • [3] Intrahepatic splenosis in a patient with chronic hepatitis C
    Kondo, M
    Okazaki, H
    Takai, K
    Nishikawa, J
    Ohta, H
    Uekusa, T
    Yoshida, H
    Tanaka, K
    JOURNAL OF GASTROENTEROLOGY, 2004, 39 (10) : 1013 - 1015
  • [4] Intrahepatic splenosis in a patient with chronic hepatitis C
    Masaaki Kondo
    Hiroshi Okazaki
    Kazunari Takai
    Junichi Nishikawa
    Hideki Ohta
    Toshimasa Uekusa
    Hideo Yoshida
    Katsuaki Tanaka
    Journal of Gastroenterology, 2004, 39 : 1013 - 1015
  • [5] Intrahepatic and intraperitoneal splenosis mimicking hepatocellular carcinoma with abdominal wall metastasis in a patient with hepatitis C cirrhotic liver
    Li, Tao
    Yang, Xiao-Yun
    Tang, Zhao-You
    SURGERY, 2015, 157 (05) : 954 - 956
  • [6] Hepatic Splenosis Masquerading as Hepatocellular Carcinoma in a Chronic Hepatitis C Patient
    Keck, Carson
    Shetty, Akshay
    Mischen, Blaine
    Willner, Ira
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2017, 112 (10): : 1493 - 1493
  • [7] Intrahepatic splenosis mimics hepatocellular carcinoma in a patient with chronic hepatitis B A case report and literature review
    Wang, Wen-Chao
    Li, Xi-Feng
    Yan, Zhen-Lin
    Wang, Yu
    Ma, Jun-Yong
    Shi, Le-Hua
    Zhang, Xiao-Feng
    MEDICINE, 2017, 96 (47)
  • [8] A rare intrahepatic splenosis mimicking hepatocellular carcinoma: A case report
    Umeda, Issei
    Tomihara, Hideo
    Maeda, Sakae
    Kitagawa, Akihiro
    Miyamoto, Kana
    Kawabata, Ryohei
    Nishikawa, Kazuhiro
    Noura, Shingo
    Yasuhara, Yumiko
    Miyamoto, Atsushi
    MOLECULAR AND CLINICAL ONCOLOGY, 2023, 19 (05)
  • [9] Hepatic Splenosis Mimicking Hepatocellular Carcinoma
    Tikue, Alay
    Bedanie, Genanew
    Bsrat, Makda
    Wudneh, Eden
    Habitemichael, Dereje
    Libab, Safaa
    Islam, Sameer
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2021, 116 : S1165 - S1165
  • [10] Hepatic splenosis mimicking hepatocellular carcinoma
    Malhotra, Advitya
    Sood, Gagan K.
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2007, 102 : S247 - S247