Splenic siderotic nodules

Case contributed by Ibrahim Abdelatty
Diagnosis probable

Presentation

Routine abdomen ultrasound with history of anemia .

Patient Data

Age: 20 years
Gender: Male
ultrasound

The spleen appears heterogenous in echo pattern with innumerable hyperechoic micronodules and enlarged in size measuring about 17.7 x 7 cm suggesting sideroblastic nodules .

Case Discussion

Splenic siderotic nodules, also known as Gamma-Gandy bodies (GGBs) .

GGBs are few millimeter granuloma like nodules composed of hemosiderin, calcium and fibrous tissue with crystal structure of CaPo4.FeoH.  

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