Ikeda Noriko, Kawashita Yujo, Tateishi Masaki, Ueda Takashi, Yamaguchi Junzo, Washida Yasuo, Hachitanda Yoichi
Surgery, Fukuoka Seishukai Hospital, Fukuoka, JPN.
Radiology, Fukuoka Seishukai Hospital, Fukuoka, JPN.
Cureus. 2024 Sep 25;16(9):e70145. doi: 10.7759/cureus.70145. eCollection 2024 Sep.
Intrahepatic splenosis is an uncommon condition that can present a significant diagnostic challenge, often masquerading as more sinister hepatic lesions. We report a perplexing case of a 56-year-old female with a history of splenectomy who presented with liver masses initially suspected to be hepatocellular carcinoma (HCC). Despite advanced imaging techniques, including ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI), the lesions convincingly mimicked HCC. Surgical resection was performed, and histopathological examination revealed the true nature of the masses: intrahepatic splenosis. This case underscores the importance of considering this rare entity in the differential diagnosis of liver masses, particularly in patients with a history of splenic trauma or splenectomy. We present a review of the literature to provide context and discuss the diagnostic conundrum posed by intrahepatic splenosis.
肝内脾组织异位是一种罕见的病症，会带来重大的诊断挑战，常常伪装成更严重的肝脏病变。我们报告了一例令人困惑的病例，一名56岁有脾切除术史的女性，出现肝脏肿块，最初怀疑是肝细胞癌（HCC）。尽管采用了先进的成像技术，包括超声、计算机断层扫描（CT）和磁共振成像（MRI），这些病变仍令人信服地酷似HCC。进行了手术切除，组织病理学检查揭示了肿块的真实性质：肝内脾组织异位。该病例强调了在肝肿块的鉴别诊断中考虑这种罕见实体的重要性，特别是在有脾外伤或脾切除术史的患者中。我们对文献进行了综述，以提供背景信息并讨论肝内脾组织异位所带来的诊断难题。
