Lower abdominal pain. A splenic focal lesion eas incidentally discovered by ultrasound.
Loading Stack -
0 images remaining
Axial non-contrast CT demonstrates well-defined lesion isodense relative to the spleen. Axial CT with contrast (arterial phase ) shows uniform homogenously peripheral enhancement.
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).
- 1. Willcox T, Speer R, Schlinkert R, et-al. Hemangioma of the spleen: presentation, diagnosis, and management. (2000) Journal of Gastrointestinal Surgery. 4 (6): 611. doi:10.1016/S1091-255X(00)80110-9
- 2. Lam K, Lam YK, Lam PW, Lam. Splenic vascular lesions: unusual features and a review of the literature. (1999) The Australian and New Zealand journal of surgery. doi:10.1046/j.1440-1622.1999.01550.x - Pubmed
- 3. Abbott RM, Levy AD, Aguilera NS, et al. From the Archives of the AFIP. (2004) RadioGraphics. doi:10.1148/rg.244045006