PMC6019759_01
(A) MRI reformatting image showing right supra renal mass measuring about 9.4 x 7.8 cm. (B) Extra hepatic peritoneal focal lesion related to lateral aspect of segment VI of the liver measured 2.5 x 2 x 1 cm. (C) Reformatted image of MRI showing both lesions.
gr1.jpg
PMC6019759_01_gr1.jpg
fig0005
In addition, there was extra hepatic peritoneal focal lesion related to lateral aspect of segment VI of the liver measured 2.5 x 2 x 1 cm (mostly metastatic) (Fig. 1).
(A) Intraoperative findings: (1) Right supra renal mass (2) Right renal unit (3) Inferior Vena Cava (IVC). (B) Right supra renal bed after removal of the mass.
gr2.jpg
PMC6019759_01_gr2.jpg
fig0010
During adrenalectomy, extra hepatic peritoneal focal lesion identified at the surface of right lobe of the liver and was resected (Fig. 2).
(A) Gross picture of the mass "opened" (B&C). Pathological findings normal splenic red and white pulp components including lymphoid follicles with germinal center formation with normal supra renal tissue and no malignancy and accessory peritoneal mass showed same findings consistent with splenosis "Magnification x 1000''.
gr3.jpg
PMC6019759_01_gr3.jpg
fig0015
Histopathological examination showed normal splenic red and white pulp components including lymphoid follicles with germinal center formation with normal supra renal tissue and no malignancy and accessory peritoneal mass showed same findings consistent with splenosis (Fig. 3).