Splenic hemangioma

Case contributed by Dr Momen Mahmoud

Presentation

Lower abdominal pain. A splenic focal lesion eas incidentally discovered by ultrasound.

Patient Data

Age: 35 years
Gender: Female
CT

Axial non-contrast CT  demonstrates well-defined lesion isodense relative to the spleen.  Axial CT with contrast (arterial phase ) shows uniform homogenously peripheral enhancement.

Case Discussion

During workup for lower abdominal pain, a female patient in the third decade of life underwent imaging of the abdomen. On ultrasound, a suspicious hyperechoic lesion was identified in the spleen. The patient underwent CT with contrast. Hemangioma of the spleen was diagnosed.

The differential considerations for a solid mass of the spleen include metastases, lymphoma, hamartoma, and angiosarcoma

In the case discussed here, a contrast-enhanced CT was performed, which demonstrated the typical contrast enhancement pattern for hemangiomas; mainly peripheral contrast enhancement in arterial phase, homogenous enhancement in portovenous phase (not shown) that persists into delayed phase (not shown).

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Case information

rID: 83120
Published: 20th Oct 2020
Last edited: 2nd Nov 2020
Inclusion in quiz mode: Included
Institution: Alazhar university hospitals

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