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