Chang C F, Hwang S J, Wu J C, Chiang J H, Chiang H, Huang S M, Lee S D
Department of Medicine, Radiology, Veterans General Hospital-Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Nov;48(5):388-92.
Hamartoma of the spleen is a rare benign tumor. Only about 105 cases in English-writing literature were reported after first description by Rokitansky in 1861. We reported one case of asymptomatic splenic hamartoma in Taiwan which was found incidentally by ultrasonographic examination. Ultrasonography of abdomen revealed a slightly hypoechoic and nearly isoechoic tumor mass in the spleen. Computed tomography of the abdomen revealed a well-defined, low-attenuation mass in the spleen, which became isodense after contrast injection. Celiac arteriography and superselective splenic arteriography revealed a hypervascular mass with fine tumor vessels and tumor stains in the spleen. Splenectomy was performed and the microscopic examinations revealed typical red-pulp type hamartoma of the spleen.