Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Hepatoblastoma
Joseph Junewick, MD FACR
over 6 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Splenic Hemangioendothelioma

Case Detail

Anatomy: Gastrointestinal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Benign
Created: over 8 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US MR CT
Activities:
Adobe32 PDF Imagej32 ImageJA

History

9 month old female with left upper quadrant mass on well child examination.


Case Images


Diagnosis

Splenic hemangioendothelioma (SH)

Clinical Notes

Hemoglobin – 7.6 (low)
Platelet – 436K (high)
WBC – 23.7K (high)
human chorionic gonadotropin – <1 (normal)
alpha feto-protein – 11.5 (normal)

Findings

US – Large hypervascular exophytic splenic mass, slightly hypoechoic to the spleen.

CT – Confirms slightly heterogeneous isodense splenic origin mass.

MRI – Mass is hypointense to spleen on T2 and hyperenhancing on post-gadolinium images.

Discussion

SH is a very rare tumor with low malignant potential previously thought to represent angiosarcoma. Patients are often young adults with no gender predilection who present with a palpable mass and hypersplenism. Diagnosis is unlikely to be made by imaging alone.



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare