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Splenosis simulating an intrahepatic mass

Splenosis simulating an intrahepatic mass

作     者:晁明 徐宏伟 

作者机构:Department of Radiology 

出 版 物:《Chinese Journal of Traumatology》 (中华创伤杂志(英文版))

年 卷 期:2004年第7卷第1期

页      面:62-64页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Biopsy, Needle Diagnosis, Differential Follow-Up Studies Humans Laparotomy Liver Diseases Liver Neoplasms Male Middle Aged Risk Assessment Splenosis Tomography, X-Ray Computed Ultrasonography, Doppler 

摘      要:Splenosis is the autotransplantation of splenic tissue that usually follows traumatic rupture of the spleen. Splenic implants may be seeded within or beyond the peritoneal cavity.1 The most frequent locations of splenosis in the descending order are the serosal surface of the small intestine, the greater omentum, parietal peritoneum, surface of the large intestine, mesentery, undersurface of the diaphragm and the thorax.1,2 However, intrahepatic splenosis is very rare. We recently encountered a patient in whom results of ultrasonography (US) and computed tomography (CT) revealed an intrahepatic mass that consisted of ectopic splenic tissue. To our knowledge, this is the fifth report of ectopic splenic tissue in the liver in the English-language literature. We present the imaging findings of the splenic implants in the liver and discuss the diagnosis and its practical significance.

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