Chronic expanding hematoma of the spleen caused by angiomyolipoma in a patient with tuberous sclerosis.
We report a case of a chronic expanding hematoma caused by an angiomyolipoma of the spleen in a patient diagnosed with tuberous sclerosis in infancy. Computed tomography showed large bilateral renal angiomyolipomas. A splenic mass that increased in size during the follow-up period of 62 months was also noted. A large subcapsular hematoma of the spleen finally developed, and a splenectomy was performed. The splenic mass consisted of a chronic hematoma with prominent granulation tissue, which was considered to be caused by repeated bleeding from a small angiomyolipoma in the spleen.
Asayama
Y
Y
Department of Radiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Fukuya
T
T
Honda
H
H
Kaneko
K
K
Kuroiwa
T
T
Yoshimitsu
K
K
Irie
H
H
Shinokuma
J
J
Yamaguchi
K
K
Masuda
K
K
D000328:Adult; D018207:Angiomyolipoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006097:Granulation Tissue / Q000473:pathology; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D013156:Splenectomy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D013160:Splenic Neoplasms / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014402:Tuberous Sclerosis / Q000150:complications*