Case Reports
Copyright ©The Author(s) 2004. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 1, 2004; 10(17): 2613-2615
Published online Sep 1, 2004. doi: 10.3748/wjg.v10.i17.2613
Imaging findings of splenic hamartoma
Ri-Sheng Yu, Shi-Zheng Zhang, Jian-Ming Hua
Ri-Sheng Yu, Jian-Ming Hua, Department of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Shi-Zheng Zhang, Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Ri-Sheng Yu, Department of Radiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, Zhejiang Province, China. yurisheng2003@yahoo.com.cn
Telephone: +86-571-87783860 Fax: +86-571-87783804
Received: October 8, 2003
Revised: November 4, 2003
Accepted: November 13, 2003
Published online: September 1, 2004
Abstract

AIM: To assess CT and MR manifestations and their diagnostic value in splenic hamartoma with review of literatures.

METHODS: We described a woman who was accidentally found to have a splenic tumor by ultrasound of the abdomen. CT and MR findings of this splenic hamartoma were proved by pathology retrospectively.

RESULTS: The CT and MR findings in this case included a ball-like mass with homogeneous mild-hypodensity lesions on non-enhanced CT scans or isointensity on T1-weighted images and mild hypointensity on T2-weighted images, progressive homogeneous enhancement on multiple-phase spiral CT and MR enhanced scans, and isodense enhancement on delayed post-contrast CT scans and obvious hyperintensity relative to the spleen on delayed MR images.

CONCLUSION: Splenic hamartoma has some specific radiological features. However, the diagnosis of this disease must be based on clinical features and confirmed by pathology.

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