Abstract: Hepatic splenosis, one type of manifestation of ectopic spleen tissue, is rarely reported. It cannot be distinguished from hepatic malignancies because of lack of significant radiological features. By means of this case report and 31 literature reviews, potential treatment modalities concerning clinical diagnostics, patient's management could be discussed. The report presents the case of a 33-year-old man with a liver lesion. Finally, after a mini-incision laparotomy, the lesion was resected and the diagnosis confirmed it as hepatic splenosis. A literature search for case reports published between January 1, 1900, and August 1, 2014, was performed on PubMed. Approximately 80% (27/34) of patients diagnosed with hepatic splenosis had a history of splenectomy. The mean time interval between splenectomy and hepatic splenosis detection was 25 (1.5–47) years. The median size of reported hepatic splenosis is 30?mm in diameter. Technetium-99m-labeled heat denatured red-blood-cells scintigraphy or superparamagnetic iron oxide-enhanced magnetic resonance imaging is now considered to be the optimal method of diagnosing splenosis. Hepatic splenosis requires no treatment in most cases. Operation should be performed if it is accompanied by hypersplenism in hematological diseases. When the diagnosis remains unclear, further biopsy or laparoscopy is recommended. If hepatic splenosis is confirmed, careful follow-up is beneficial.
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机译：【摘要】肝脾病是异位脾脏组织的一种表现，鲜有报道。由于缺乏明显的放射学特征，因此无法与肝恶性肿瘤区分开。通过该病例报告和31篇文献综述，可以讨论有关临床诊断，患者管理的潜在治疗方式。该报告介绍了一名33岁的男性肝脏病变病例。最后，在小切口剖腹手术后，将病灶切除并诊断为肝脾病。在PubMed上对1900年1月1日至2014年8月1日之间发布的病例报告进行了文献检索。被诊断出肝脾病的患者中约有80％（27/34）有脾切除史。脾切除术与肝脾检查之间的平均时间间隔为25（1.5-47）年。据报道，肝脾的中位直径为30？mm。 considered 99m标记的热变性红细胞闪烁显像或超顺磁性氧化铁增强的磁共振成像现在被认为是诊断脾脏疾病的最佳方法。在大多数情况下，肝脾脏不需要治疗。如果血液疾病伴有脾功能亢进，应进行手术。当诊断仍不清楚时，建议进一步活检或腹腔镜检查。如果证实了肝脾病，仔细随访是有益的。
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