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Traumatic Pseudomeningocele
Joseph Junewick, MD FACR
over 7 years ago
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Case History


Nearly 2 year old male with abdominal pain and fever.


Case Detail

Anatomy: Gastrointestinal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Malignant
Created: over 5 years ago
Updated: over 5 years ago
Tags: PEDS
Modality/Study Types: US CT
Activities:
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Reveal Clinical Notes

Pathology – Extramedullary hematopoiesis secondary to acute T cell lymphoblastic leukemia.

Reveal Findings

US – Hepatosplenomegaly with microcystic appearance of the spleen, disordered hepatic echotexture and perihepatic adenopathy.

CT – Coronal reformat confirming US findings.

Reveal Discussion

Extramedullary hematopoiesis is a mechanism to compensate for deficient red cell mass. It is known to occur with myleofibrosis, various anemias and chronic myelogenous leukemia but is rare in acute leukemias. Hepatosplenomegaly with a microcystic echotexture is typical of extramedullary hematopoiesis; infection (usually fungal microabscesses), lymphatic obstruction and lymphatic malformation, and leukemic infiltration could also be considered in the differential diagnosis.

Reveal Diagnosis

Extramedullary Hematopoiesis

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