©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Dec 27, 2019; 11(12): 773-779
Published online Dec 27, 2019. doi: 10.4254/wjh.v11.i12.773
Published online Dec 27, 2019. doi: 10.4254/wjh.v11.i12.773
Intrahepatic and intra-abdominal splenosis: A case report and review of literature
Kiruthika Ananthan, GKT School of Medical Education, King’s College London, London WC2R 2LS, United Kingdom
Gibran Timothy Yusuf, Department of Radiology, Princess Royal University Hospital, King’s College Hospital NHS Foundation Trust, Kent BR6 8ND, United Kingdom
Mayur Kumar, Department of Gastroenterology, Princess Royal University Hospital, King’s College Hospital NHS Foundation Trust, Kent BR6 8ND, United Kingdom
Author contributions: Ananthan K, Yusuf GT and Kumar M wrote and reviewed the paper; Yusuf GT additionally selected the images for the case report.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Mayur Kumar, FRCP (Hon), MBBS, MRCP, Doctor, Department of Gastroenterology, Princess Royal University Hospital, King’s College Hospital NHS Foundation Trust, Farnborough Common, Orpington, Kent BR6 8ND, United Kingdom. mayurkumar@nhs.net
Telephone: +44-203-2995844 Fax: +44-203-2996474
Received: August 22, 2019
Peer-review started: August 22, 2019
First decision: November 2, 2019
Revised: November 11, 2019
Accepted: November 25, 2019
Article in press: November 25, 2019
Published online: December 27, 2019
Processing time: 126 Days and 4.8 Hours
Peer-review started: August 22, 2019
First decision: November 2, 2019
Revised: November 11, 2019
Accepted: November 25, 2019
Article in press: November 25, 2019
Published online: December 27, 2019
Processing time: 126 Days and 4.8 Hours
Core Tip
Core tip: Intrahepatic splenosis is rare. On imaging it is difficult to distinguish splenosis from hepatic malignancy, particularly hepatocellular carcinoma. We report a case of a patient with intrahepatic and intra-abdominal splenosis diagnosed using scintigraphy with technetium-99m heat-denatured red blood cells. To the author’s knowledge, this is the first case where hepatic splenosis was confirmed without using invasive procedures such as biopsy or surgery. Splenosis should be considered as an important differential for a hepatic lesion in a patient with a history of trauma or splenectomy, particularly if the lesion is located near the capsule and associated with multiple abdominal deposits.