A 9-year-old spayed female mixed breed dog weighing 6.8 kg with a history of previous splenectomy for hemangiosarcoma 4 years earlier was referred for a hepatic mass lesion. Although the dog did not have a clinical sign, a computed tomography revealed a solitary mass in the left medial lobe of the liver. Spleen-like tissue was observed on needle core biopsy of the mass, leading to the diagnosis of intrahepatic splenosis. Therefore, hepatic lobectomy of the left medial lobe of the liver was performed. Histopathological evaluation of the excised tumor confirmed the diagnosis of intrahepatic splenosis. No further development of splenosis was detected on CT performed 217 days after the surgery. The dog died of suspected aspiration pneumonia without any event or clinical signs related to intrahepatic splenosis on postoperative 272 days. The cause of the intrahepatic splenosis observed in this dog was unknown; however, hematogeneous dissemination and autoimplantation of splenic tissue via the portal venous flow was speculated. This case shows the utility of needle core biopsy for the preoperative diagnosis of splenosis. The intrahepatic splenosis in this case was considered to have developed as a long-term sequelae after splenectomy, as in humans.
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http://dx.doi.org/10.1292/jvms.24-0080 | DOI Listing |
J Vet Med Sci
January 2025
Laboratory of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University.
A 9-year-old spayed female mixed breed dog weighing 6.8 kg with a history of previous splenectomy for hemangiosarcoma 4 years earlier was referred for a hepatic mass lesion. Although the dog did not have a clinical sign, a computed tomography revealed a solitary mass in the left medial lobe of the liver.
View Article and Find Full Text PDFCureus
September 2024
Pathology, Fukuoka Seishukai Hospital, Fukuoka, JPN.
Intrahepatic splenosis is an uncommon condition that can present a significant diagnostic challenge, often masquerading as more sinister hepatic lesions. We report a perplexing case of a 56-year-old female with a history of splenectomy who presented with liver masses initially suspected to be hepatocellular carcinoma (HCC). Despite advanced imaging techniques, including ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI), the lesions convincingly mimicked HCC.
View Article and Find Full Text PDFAJR Am J Roentgenol
December 2024
Department of Radiology, First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), No. 61 Jiefang W Rd, Changsha, 410005 China.
United European Gastroenterol J
April 2024
Dipartimento di Medicina Sperimentale e Clinica, University of Florence, Florence, Italy.
Indian J Cancer
April 2024
Department of General Surgery, The Second Affiliated Hospital, The Air Force Military Medical University, 1 Xinsi Road, Xi'an, China.
We present an extremely rare case of intrahepatic splenosis (IHS). On admission and examination, the patient was diagnosed with hepatocellular carcinoma and postoperative injury or inflammatory lesions of the pancreas, based on image analysis. Postoperative histopathology showed that the lesions of the liver and diaphragm were of splenic origin, and the pancreatic lesion was identified as a moderately differentiated adenocarcinoma.
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