Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hepatic splenosis mimicking HCC in a patient with hepatitis C liver cirrhosis and mildly raised alpha feto protein; the important role of explorative laparoscopy | BioMed Central World Journal of Surgical Oncology Open Access Case report Hepatic splenosis mimicking HCC in a patient with hepatitis C liver cirrhosis and mildly raised alpha feto protein the important role of explorative laparoscopy M Abu Hilal A Harb B Zeidan B Steadman JN Primrose and NW Pearce Address Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit Southampton University Hospital Southampton SO16 6YD UK Email M Abu Hilal - abu_hlal@ A Harb - ayad5@ B Zeidan - bashar2000@ B Steadman - Not@ JN Primrose - NW Pearce - Corresponding author Published 5 January 2009 Received 28 May 2008 World Journal of Surgical Oncology 2009 7 1 doi 1477-7819-7-1 Accepted 5 January 2009 This article is available from http content 7 1 1 2009 Abu Hilal et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Splenosis is a heterotropic implantation of splenic fragments onto exposed vascularised peritoneal and intrathoracic surfaces following splenic injury or elective splenectomy. Case presentation A 60 year old cirrhotic patient was referred to us with a hepatic mass suspected to be HCC in a cirrhotic liver. A computerized tomography scan CT demonstrated a cirrhotic liver with a 2 X cm focal hypervascular nodule lying peripherally at the junction of segment 7 and 8. Diagnostic laparoscopy demonstrated a 3 cm exofitic dark brown splenunculus attached to the diaphragm and indenting the surface of segment 7 of the liver. The lesion was easily resected laparoscopically and shaved from the live surface with no need for a liver resection. The histopathological assessment confirmed the diagnosis of .
