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Gamna Gandy bodies

Case contributed by Mohammed Malti
Diagnosis almost certain

Presentation

Cirrhotic patient.

Patient Data

Age: 45 years
Gender: Female
ultrasound

Multiple tiny echogenic foci diffusely involving the splenic parenchyma.

Case Discussion

Gamna Gandy bodies or splenic siderotic nodules are most commonly encountered in portal hypertension. The pathophysiological process is the result of microhemorrhage resulting in hemosiderin and calcium deposition followed by fibroblastic reaction.

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