PMC5927808_01
Computed Tomography (CT) of the abdomen.
gr1.jpg
PMC5927808_01_gr1.jpg
fig0005
Exams were performed, and the findings were as follows: upper gastrointestinal endoscopy showed evidence of a prior gastrectomy with Billroth's operation II; colonoscopy showed evidence of a prior resection of tubular adenomatous polyposis; abdominal ultrasound showed evidence of prior cholecystectomy and splenectomy, as well as two hepatic nodules in the left lobe that were 1.3 cm and 1.9 cm in diameter and one in the right lobe that was 0.7 cm in diameter; CT and MRI of the abdomen (Fig. 1, Fig. 2) also showed evidence of prior cholecystectomy and splenectomy, as well as a hepatic nodule in segment 2 that was 1.7 cm in diameter and one in segment 3 that was 4.9 cm in diameter, nodules which were suggestive of neoplasia; finally, the bone scintigraphy showed no lesions suggestive of secondary implants.
Macroscopy of the mass.
gr3.jpg
PMC5927808_01_gr3.jpg
fig0015
Histopathology revealed intrahepatic heterotopic splenic parenchyma, with no evidence of neoplasia in either of the two lesions, the diameters of which were 1.5 cm and 3.6 cm (Fig. 3, Fig. 4, Fig. 5).
Microscopy of the mass.
gr5.jpg
PMC5927808_01_gr5.jpg
fig0025
Histopathology revealed intrahepatic heterotopic splenic parenchyma, with no evidence of neoplasia in either of the two lesions, the diameters of which were 1.5 cm and 3.6 cm (Fig. 3, Fig. 4, Fig. 5).