• Medicine · Jun 2018

    Case Reports

    Sclerosing angiomatoid nodular transformation of the accessory spleen: A case report and review of literature.

    • Miao Niu, Ailian Liu, Jingjun Wu, Qinhe Zhang, and Jinghong Liu.
    • The First Affiliated Hospital of Dalian Medical University-Radiology Department, Liaoning, Dalian, China.
    • Medicine (Baltimore). 2018 Jun 1; 97 (26): e11099.

    RationaleSclerosing angiomatoid nodular transformation (SANT) is a rare case which usually occurs in spleen, but our case occurs in accessory spleen.Patient ConcernsWe reported a case of a 27 year old man who was identified with an isodense mass in the left abdominal cavity by ultrasonicphysical examination without symptoms. Blood routine and tumor markers (alpha fetal protein, carcinoembryonic antigen, CA19-9, CA125) were normal.DiagnosesThe tumor was firstly diagnosed as left abdominal mass and its origin was considered as small intestinal by the radiologist. The pathological diagnosis was the sclerosing angiomatoid nodular transformation (SANT) of the accessory spleen.InterventionsLaparoscopic splenectomy is a more reliable method for the treatment of SANT.OutcomesNon-enhanced CT showed iso-intensity lesion of the accessory spleen, and enhanced CT showed progressive enhancement. According to the above characteristics, we should consider the diagnosis of spleen SANT. We reviewed some literatures to summarize the characteristics of SANT.

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