Splenic hemangioma with steroid induced avascular necrosis
Updates to Study Attributes
The spleen is enlarged with a large ill-defined hypodense lesion that contains central foci of calcification. The lesion displays progressive centripetal filling after contrast administration.
Innumerable other small lesions are seen throughout the splenic parenchyma with hyperenhancement in arterial and venous phases with complete fill-in at delayed phase, suggestive of small splenic haemangiomata.
A note is made of severe bilateral avascular necrosis of femoral heads with secondary osteoarthritic changes.
Cardiomegaly is also noted.
Diagnosis: splenic haemangiomahemangioma causing thrombocytopenia and complicated by steroid-induced femoral head avascular necrosis.
Image CT (C+ portal venous phase) ( update )
Image CT (bone window) ( update )
Updates to Case Attributes
The patient had thrombocytopenia and was thought to be autoimmune and hence she was treated with corticosteroids. The corticosteroids caused bilateral femoral head avascular necrosis and secondary osteoarthritis. The real cause for the thrombocytopenia was large splenic haemangioma which sequestrated and destroyed the platelets and though the accurate treatment should be splenectomy.
-<p>The patient had thrombocytopenia and was thought to be autoimmune and hence she was treated with corticosteroids. The corticosteroids caused bilateral <a title="" href="/articles/avascular-necrosis-of-the-hip">femoral head avascular necrosis </a>and secondary osteoarthritis. The real cause for the thrombocytopenia was large <a title="" href="/articles/splenic-haemangioma">splenic haemangioma </a>which sequestrated and destroyed the platelets and though the accurate treatment should be splenectomy.</p>- +<p>The patient had thrombocytopenia and was thought to be autoimmune and hence she was treated with corticosteroids. The corticosteroids caused bilateral <a href="/articles/osteonecrosis-of-the-femoral-head" title="">femoral head avascular necrosis</a> and secondary osteoarthritis. The real cause for the thrombocytopenia was large <a href="/articles/splenic-haemangioma" title="">splenic haemangioma </a>which sequestrated and destroyed the platelets and though the accurate treatment should be splenectomy.</p>
References changed:
- 1. Ferrozzi F, Bova D, Draghi F et-al. CT findings in primary vascular tumors of the spleen. AJR Am J Roentgenol. 1996;166 (5): 1097-101. <a href="http://dx.doi.org/10.2214/ajr.166.5.8615251">doi:10.2214/ajr.166.5.8615251</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/8615251">Pubmed citation</a><span class="auto"></span>
- 2. Disler DG, Chew FS. Splenic hemangioma. AJR Am J Roentgenol. 1991;157 (1): 44. <a href="http://dx.doi.org/10.2214/ajr.157.1.2048536">doi:10.2214/ajr.157.1.2048536</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/2048536">Pubmed citation</a><span class="auto"></span>
- 1- Ferrozzi F, Bova D, Draghi F et-al. CT findings in primary vascular tumors of the spleen. AJR Am J Roentgenol. 1996;166 (5): 1097-101. <a href="http://dx.doi.org/10.2214/ajr.166.5.8615251">doi:10.2214/ajr.166.5.8615251</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/8615251">Pubmed citation</a><span class="auto"></span>
- 2- Disler DG, Chew FS. Splenic hemangioma. AJR Am J Roentgenol. 1991;157 (1): 44. <a href="http://dx.doi.org/10.2214/ajr.157.1.2048536">doi:10.2214/ajr.157.1.2048536</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/2048536">Pubmed citation</a><span class="auto"></span>
Unable to process the form. Check for errors and try again.