Hemochromatosis

Case contributed by Mina Sameh Rizk
Diagnosis almost certain

Presentation

Past history of splenectomy.

Patient Data

Age: 20 years
Gender: Male
mri
  • Enlarged liver showing homogeneous abnormal very low signal intensity causing blooming artefact.

  • The spleen was surgically removed with a splenule noted showing abnormal low signal intensity.

  • Diffuse low signal intensity also affecting the pancreas with no pancreatic lesions.

  • The lower thoracic cuts show cardiomegaly with low signal affecting the myocardium.

  • Congested IVC and hepatic veins, mild ascites and bilateral pleural effusions.

Case Discussion

Picture impressive of hemochromatosis affecting liver, pancreas, splenule and myocardium. Congested IVC and hepatic veins is probably due to iron overload induced cardiomyopathy.

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