Basket pattern blood flow signals discovered in a case of splenic hamartoma by power Doppler ultrasonography |
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Authors: | Nakanishi Shigeo Shiraki Katsuya Yamamoto Kouji Nakano Takeshi Koyama Mutsumi Yano Takatsugu Sanda Takayuki Tamaki Hisao Hirano Tadanori Fukudome Kazuo Ishihara Akinori |
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Institution: | 1. First Department of Internal Medicine,Mie University School of Medicine,Tsu,Mie 514-8507,Japan;Department of Internal Medicine,Matsusaka General Hospital,Matsusaka,Mie 102,Japan 2. First Department of Internal Medicine,Mie University School of Medicine,Tsu,Mie 514-8507,Japan 3. Department of Internal Medicine,Matsusaka General Hospital,Matsusaka,Mie 102,Japan 4. Department of Surgery,Matsusaka General Hospital,Matsusaka,Mie 102,Japan 5. Department of Radiology,Matsusaka General Hospital,Matsusaka,Mie 102,Japan 6. Department of Pathology,Matsusaka General Hospital,Matsusaka,Mie 102,Japan |
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Abstract: | We present the gray-scale ultrasonography (GSUS), power Doppler ultrasonography (PDUS), abdominal computed tomography (CT), and magnetic resonance imaging (MRI) findings for a case of splenic hamartoma in a 27-year-old man, showing a phi 50 mm homogeneous, iso- and hypo-echoic splenic mass with evidence of a small plural cystic lesion. This splenic hamartoma showed increased vascularity on power Doppler sonograms. PDUS showed multiple circular blood flow signals inside the mass (i.e. a basket pattern), which was consistent with the small plural cystic lesion shown by GSUS. Spectral analysis also confirmed arterial and venous flow. CT scans showed that the mass had low-density relative to the normal spleen and MRI showed that the mass was isodense, relative to the normal spleen. Therefore, CT and MRI are not useful for the diagnosis of splenic hamartoma. Ultrasonography can be used to diagnose splenic hamartoma without administration of a contrast material and therefore is an indispensable method for the diagnosis of splenic hamartoma. |
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Keywords: | Splenic hamartoma Ultrasonography Basket pattern |
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