Congenital left lobe megaly of liver resembling splenic pathology: a diagnostic dilemma confirmed bySPECT-CT of liver-spleen scan

Authors

  • Puja Bhattacharjee Medical Officer, Scintigraphy Division, NINMAS, Block-D, BSMMU campus, haka-1000, Bangladesh
  • Tapati Mandal National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Sharmin Quddus National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Pupree Mutsuddi National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Papia Akhter National Institute of Nuclear Medicine and Allied Sciences (NINMAS), Dhaka, Bangladesh
  • Md Azharul Islam National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • - Md Ismail National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Abu Bakker Siddique National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Reajul Islam National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000
  • Jasmine Ara Haque National Institute of Nuclear Medicine and Allied Sciences (NINMAS), BSMMU campus, Shahbag, Dhaka, 1000

DOI:

https://doi.org/10.3329/bjnm.v22i2.51772

Keywords:

Hepatomegaly, Congenital splenomegaly, Liver-spleen scan.

Abstract

Liver scintigraphy is a specialized nuclear medicine imaging technique used to diagnose hepatic pathological conditions as well as to assess the function of the liver. Itis also used to follow the progress of treatment of certain diseases. This procedure may be referred as liver-spleen scan because the spleen is alsoevaluateddue to its proximity and close functional relationship to liver.SPECT-CT correlation along with planar images increases the specificity of the test and can guide the physicians to rule outdiagnostic dilemma regarding certain hepatic & splenic diseases. Here, we present a case where the patient was initially suspected tohave splenomegaly with splenic hematomabut finally confirmedas unusuallyenlarged left lobe of liverand normal sized spleen with SPECT-CT of liver-spleen scan.

Bangladesh J. Nuclear Med. 22(2): 161-165, Jul 2019

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Published

2021-02-01

How to Cite

Bhattacharjee, P., Mandal, T., Quddus, S., Mutsuddi, P., Akhter, P., Islam, M. A., Md Ismail, .-., Siddique, A. B., Islam, R., & Haque, J. A. (2021). Congenital left lobe megaly of liver resembling splenic pathology: a diagnostic dilemma confirmed bySPECT-CT of liver-spleen scan. Bangladesh Journal of Nuclear Medicine, 22(2), 161–165. https://doi.org/10.3329/bjnm.v22i2.51772

Issue

Section

Case Reports