title: Multiple intraabdominal soft-tissue masses in a man awaiting liver transplantation: a case study and discussion.
abstract: An unusual cause of abdominal soft-tissue masses is accessory splenic tissue. The Tc-99m-sulfur colloid liver-spleen scan is a valuable adjunct in making this diagnosis. This report describes a 47-year-old man who had an abdominal magnetic resonance imaging (MRI) scan as part of a pretransplant evaluation and was found to have multiple soft-tissue masses in the posterior aspect of his abdomen. His history was pertinent for a traumatic rupture of the spleen at the age of 12 years, for which he required a splenectomy. He had no symptoms or physical findings to indicate a lymphoproliferative disorder or other malignant process. His peripheral blood smear was remarkable for the absence of Howell-Jolly bodies. The nuclear scan confirmed the presence of uptake in the soft-tissue masses seen on MRI scan. This finding supports our diagnosis of splenosis in a man with a history of traumatic splenic rupture as a child.
authors.affiliation: Department of Medicine, and University of Pennsylvania Cancer Center, Philadelphia, USA.
authors.forename: S
authors.initials: S
authors.lastname: Stein
authors.forename: P S
authors.initials: PS
authors.lastname: Duarte
authors.forename: A
authors.initials: A
authors.lastname: Alavi
authors.forename: H
authors.initials: H
authors.lastname: Zhuang
authors.forename: J B
authors.initials: JB
authors.lastname: Alavi
mesh_terms: D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D016031:Liver Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging; D017890:Splenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013671:Technetium Tc 99m Sulfur Colloid
chemical_list: D013671:Technetium Tc 99m Sulfur Colloid