Intrahepatic Splenosis Mimicking Multifocal Hepatocarcinoma in a Patient with Chronic Hepatitis

Abstract

Intrahepatic splenosis is the heterotopic autotransplantation of splenic tissue in the liver.
We present a case of a 48-year-old male with chronic hepatic disease with two hepatic nodules on routine imaging. The nodule’s characteristics on MRI made us raise the hypothesis of intrahepatic splenosis (IHS) but hepatocellular carcinoma could not be ruled out. Tc-99m-DRBC scintigraphy results did not favour the IHS hypothesis and the patient underwent surgery to resect the nodules. Histology confirmed the diagnosis of IHS.
This report demonstrates that IHS should be considered in the differential diagnosis of hepatic nodules.