Abstract

Splenosis is ectopic splenic tissue caused due to autotransplantation of one or more focal deposits of splenic tissue in various compartment of body.Hepatic splenosis is rare cause of focal liver lesion indistinguishable from primary and metastatic liver tumours . We are presenting a case report of 45 years old male detected a focal liver lesion on CT and MRI imaging ,had a history of splenectomy for splenic trauma. In view of suspicion of liver neoplasm further laproscopic resection of focal liver lesion was planned. Histopathological examination showed hepatic splenosis. With this case we would like to highlight the importance of clinical and diagnostic suspicion of intrahepatic splenosis in patient with history of splenectomy / splenic rupture. Further following diagnostic crietria1 ( as per the review of literature ). 1.history of splenic trauma or splenectomy; 2. lesion(s) with a surrounding rim, particularly near the liver capsule identified by CT scanning; 3 .findings on superparamagnetic iron oxide-enhanced magnetic resonance imaging or technetium-99m heat-damaged red cell scanning; and 4.histopathological findings (needle biopsy or surgical pathology). The following diagnostic process is also proposed: suspect diagnosis when criteria 1 and 2 are met; make diagnosis when criterion 3 is met; confirm diagnosis when criterion 4 is met. Laparotomy is recommended for either diagnosis or treatment when invasive procedures are necessary.

Description