title: Intrahepatic splenosis mimicking liver cancer: report of a case and review of literature.
abstract: Intrahepatic splenosis is a rare situation occurred after traumatic splenic rupture or splenectomy. We report a 33 year old man with multiple isolated liver masses indistinguishable from primary and metastatic liver tumor by standard evaluation. The man underwent a splenectomy due to trauma at the age of three so that the hepatic splenosis was suspected. The final fine-needle biopsy pathological examination proved the diagnosis of intrahepatic splenosis. The importance of suspicion for this diagnosis should be highlighted when tumor-like lesions disclosed on imaging occurs in a patient with a splenic injury in the past. (99m)Tc labelled heat-denatured erythrocyte scintigraphy can be helpful to the diagnosis since it may avoid the performance of biopsies or surgical resections.
authors.affiliation: Department of Gastroenterology and Hepatology, Jinling Hospital, School of Medicine, Southern Medical University Nanjing 210002, Jiangsu, China.
authors.forename: Chang
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Gastroenterology and Hepatology, Jinling Hospital, School of Medicine, Southern Medical University Nanjing 210002, Jiangsu, China.
authors.forename: Jiong
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Gastroenterology and Hepatology, Jinling Hospital, School of Medicine, Southern Medical University Nanjing 210002, Jiangsu, China.
authors.forename: Fangyu
authors.initials: F
authors.lastname: Wang
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D017668:Age of Onset; D044963:Biopsy, Fine-Needle; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis*; D008297:Male; D013156:Splenectomy; D017890:Splenosis / Q000175:diagnosis*
keywords: Splenosis; computed tomography; hepatic cell carcinoma; magnetic resonance imaging; pathology