Skip to main content
SpringerLink
Log in

Radiological features of a symptomatic splenic hamartoma

  • Published:
Pediatric Radiology Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Symptomatic splenic hamartomas are rare in the pediatric age group, with only four previous reports in the literature. Splenic hamartoma has been reported as a solid homogeneous mass without calcification on CT and ultrasound (US), and only one previous report of the findings on MRI has been published. We report a case of a large symptomatic splenic hamartoma in a 14-year-old girl who presented with splenomegaly, pancytopenia and growth retardation. A solid mass with multiple punctate foci resembling calcifications was seen on US. The mass was heterogeneous and better demarcated on enhanced CT. Radiocolloid scintigraphy demonstrated uptake within the lesion, but less than that of normal spleen. The mass was isointense relative to normal splenic tissue on T1-weighted MRI (0.5 T) and of increased intensity with T2 weighting. At splenectomy, a red pulp hamartoma was identified, which contained nodules of hyalinization and necrosis thought to account for the punctate foci seen on US.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Silverman ML, LiVolsi VA (1978) Splenic hamartoma. Am J Clin Pathol 70: 224–229

    Google Scholar 

  2. Morgenstern L, McCafferty L, Rosenberg J, Michel SL (1984) Hamartomas of the spleen. Arch Surg 119:1291–1293

    Google Scholar 

  3. Ohtomo K, Fukuda H, Mori K, Minami M, Itai Y, Inoue Y (1992) CT and MR appearances of splenic hamartoma. J Comput Assist Tomogr 16:425–428

    Google Scholar 

  4. Videbaek A (1953) Hypersplenism associated with hamartomas of the spleen. Acta Med Scand 146: 275

    Google Scholar 

  5. Tozzo RV, Haas JE, Chard RL (1980) Symptomatic splenic hamartoma: a report of two cases and review of the literature. Pediatrics 66: 261–265

    Google Scholar 

  6. Havlik RJ, Touloukian RJ, Markowitz RI, Buckley P (1990) Partial splenectomy for symptomatic splenic hamartoma. J Pediatr Surg 25: 1273–1275

    Google Scholar 

  7. Beham A, Hermann W, Vennigerholz F, Schmid C (1989) Hamartoma of the spleen with hematological symptoms. Virchows Arch A Pathol Anat Histopathol 414: 535–539

    Google Scholar 

  8. Zissin R, Lishner M, Rathaus V (1992) Case report: unusual presentation of splenic hamartoma; computed tomography and ultrasound findings. Clin Radiol 45: 410–411

    Google Scholar 

  9. Singh K, Subbramaiah A, Choudhary CR, Bhasin DK, Wig JD, Radotra B, Nagi B (1992) Splenic hamartoma with portal hypertension. Trop Gastroenterol 13: 155–159

    Google Scholar 

  10. Mitchell D, Stark D (1992) Liver. In: Stark D, Bradley W (eds) Magnetic resonance imaging, vol 2, 2nd edn. Mosby Year Book, St. Louis, p 1713

    Google Scholar 

  11. Hann P, Stark D, Glastad K (1992) Biliary system, pancreas, spleen and alimentary tract. In: Stark D, Bradley W (eds) Magnetic resonance imaging, vol 2, 2nd edn. Mosby Year Book, St. Louis, pp 1827–1833

    Google Scholar 

  12. Silverman F, Kuhn J (1992) Caffey's pediatric X-ray diagnosis, vol 1, 9th edn. Mosby, St. Louis, pp 976–977

    Google Scholar 

  13. Gulenchyn KY, Dover MR, Kelly S (1986) Splenic hemangioma presenting as a “hot spot” on radiocolloid scintigraphy. J Nucl Med 27: 804–806

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Janeway Child Health Centre and Memorial University of Newfoundland, Janeway Place, A1A 1R8, St. John's, NF, Canada

    S. E. Thompson, E. A. Walsh & B. C. Cramer

  2. Department of Pathology, Janeway Child Health Centre and Memorial University of Newfoundland, St. John's, NF, Canada

    C. C. Pushpanathan

  3. Department of Nuclear Medicine, Health Sciences Centre and Memorial University of Newfoundland, St. John's, NF, Canada

    P. Hollett

  4. Department of Pediatrics, Janeway Child Health Centre and Memorial University of Newfoundland, St. John's, NF, Canada

    L. Ingram

  5. Department of Surgery, Janeway Child Health Centre and Memorial University of Newfoundland, St. John's, NF, Canada

    D. Price

Authors
  1. S. E. Thompson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. A. Walsh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. C. Cramer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. C. Pushpanathan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Hollett
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. L. Ingram
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. D. Price
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thompson, S.E., Walsh, E.A., Cramer, B.C. et al. Radiological features of a symptomatic splenic hamartoma. Pediatr Radiol 26, 657–660 (1996). https://doi.org/10.1007/BF01356828

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01356828

Keywords

Search

Navigation