Imaging manifestations of intrahepatic ectopic splenosis: a case analysis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHANG Enhui , YANG Ruimeng , ZHANG Wanli ,  JIANG Xinqing

Department of Radiology, The Second Affiliated Hospital, School of Medicine, South China University of Technology (Guangzhou First People’s Hospital), Guangzhou 510180, P. R. China;

Corresponding author：

JIANG Xinqing, Email: eyjiangxq@scut.edu.cn

Keywords：

ectopic splenosis; liver; space-occupying lesion; imaging manifestation

DOI：

10.7507/1007-9424.202402017

Video：

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Intrahepatic ectopic splenosis is rare and lacks typical clinical and imaging features. We analyzed the clinical, pathological, and imaging characteristics of a patient with intrahepatic ectopic splenosis admitted to the Guangzhou First People’s Hospital in combining with literature review. The aim of case analysis is to enhance comprehension of the disease and provide a reference for clinical doctors in diagnosis.

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2.	陈家诚, 陈小菁, 庄春雨, 等. 肝内脾异位结节1例报告. 临床肝胆病杂志, 2020, 36(5): 1131-1133.
3.	Wang MY, Li B, Chen D, et al. Spleen implanting in the fatty liver mimicking hepatocarcinoma in a patient with hepatitis B&C: A case report and literature review. Medicine (Baltimore), 2017, 96(25): e7217. doi: 10.1097/MD.0000000000007217.
4.	Xiao SM, Xu R, Tang XL, et al. Splenosis with lower gastrointestinal bleeding mimicking colonical gastrointestinal stromal tumour. World J Surg Oncol, 2017, 15(1): 78. doi: 10.1186/s12957-017-1153-0.
5.	段克才, 杨诚, 方鲲鹏, 等. 肝内异位脾种植6例报告并文献复习. 中国普通外科杂志, 2023, 32(1): 94-100.
6.	Luo X, Zeng J, Wang Y, et al. Hepatic splenosis: Rare yet important—A case report and literature review. J Int Med Res, 2019, 47(4): 1793-1801.
7.	Guo S, Liu J, Zheng S. Intrahepatic splenosis mimicking hepatocellular carcinoma. Clin Gastroenterol Hepatol, 2022, 20(5): e915-e916. doi: 10.1016/j.cgh.2021.07.041.
8.	Khosravi MR, Margulies DR, Alsabeh R, et al. Consider the diagnosis of splenosis for soft tissue masses long after any splenic injury. Am Surg, 2004, 70(11): 967-970.
9.	Carr NJ, Turk EP. The histological features of splenosis. Histopathology, 1992, 21(6): 549-553.
10.	Lin WC, Lee RC, Chiang JH, et al. MR features of abdominal splenosis. AJR Am J Roentgenol, 2003, 180(2): 493-496.
11.	段彬, 罗成静, 罗海阳. 小肝癌、肝硬化结节的MRI征象特点及鉴别诊断价值. 中国CT和MRI杂志, 2019, 17(10): 56-58.
12.	刘魏然, 石华铮. 肝内异位脾脏1例. 肿瘤影像学, 2023, 32(1): 86-88.

1. 张烁琪, 曹红霞, 胡道予, 等. 肝包膜下脾组织植入的CT及MRI影像学特征. 中华放射学杂志, 2021, 55(5): 548-550.
2. 陈家诚, 陈小菁, 庄春雨, 等. 肝内脾异位结节1例报告. 临床肝胆病杂志, 2020, 36(5): 1131-1133.
3. Wang MY, Li B, Chen D, et al. Spleen implanting in the fatty liver mimicking hepatocarcinoma in a patient with hepatitis B&C: A case report and literature review. Medicine (Baltimore), 2017, 96(25): e7217. doi: 10.1097/MD.0000000000007217.
4. Xiao SM, Xu R, Tang XL, et al. Splenosis with lower gastrointestinal bleeding mimicking colonical gastrointestinal stromal tumour. World J Surg Oncol, 2017, 15(1): 78. doi: 10.1186/s12957-017-1153-0.
5. 段克才, 杨诚, 方鲲鹏, 等. 肝内异位脾种植6例报告并文献复习. 中国普通外科杂志, 2023, 32(1): 94-100.
6. Luo X, Zeng J, Wang Y, et al. Hepatic splenosis: Rare yet important—A case report and literature review. J Int Med Res, 2019, 47(4): 1793-1801.
7. Guo S, Liu J, Zheng S. Intrahepatic splenosis mimicking hepatocellular carcinoma. Clin Gastroenterol Hepatol, 2022, 20(5): e915-e916. doi: 10.1016/j.cgh.2021.07.041.
8. Khosravi MR, Margulies DR, Alsabeh R, et al. Consider the diagnosis of splenosis for soft tissue masses long after any splenic injury. Am Surg, 2004, 70(11): 967-970.
9. Carr NJ, Turk EP. The histological features of splenosis. Histopathology, 1992, 21(6): 549-553.
10. Lin WC, Lee RC, Chiang JH, et al. MR features of abdominal splenosis. AJR Am J Roentgenol, 2003, 180(2): 493-496.
11. 段彬, 罗成静, 罗海阳. 小肝癌、肝硬化结节的MRI征象特点及鉴别诊断价值. 中国CT和MRI杂志, 2019, 17(10): 56-58.
12. 刘魏然, 石华铮. 肝内异位脾脏1例. 肿瘤影像学, 2023, 32(1): 86-88.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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