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Hepatitis C
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Intra-Hepatic Splenosis as an Unexpected Cause of a Focal Liver Lesion in a Patient with Hepatitis C and Liver Cirrhosis: A Case Report
| Presented by: | Cases Journal / Marianne Menth, Karin Herrmann, Alexander Haug, Bijan Raziorrouh, Reinhart Zachoval, Christina-Maria Jung, Carsten Otto |
| Summary points: | A 43-year-old man, with a history of splenectomy after polytrauma with chronic hepatitis C and liver cirrhosis presents with an hepatic mass of unknown origin. The lesion could not be exactly classified by ultrasound, computed tomography, angiography, and biopsy. A selective Tc-99m-labelled heat-denatured autologous red blood cells scintigraphy of the spleen was performed and showed both the accessory spleens in the left upper quadrant and spleen-typical tissue in projection to the left liver lobe and confirmed the diagnosis of splenosis. The authors suggest this diagnosis be taken into consideration in patients with history of abdominal trauma with splenic involvement presenting with an indeterminate focal liver lesion. |
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