{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T19:38:00Z","timestamp":1726429080872},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Wir berichten \u00fcber einen 62-j\u00e4hrigen Mann, der mit epigastrischen Beschwerden in unsere Klinik \u00fcberwiesen wurde. Die initial durchgef\u00fchrte Ultraschalluntersuchung des Abdomens zeigte eine dezent echoarme 26\u200amm gro\u00dfe L\u00e4sion in Segment 2 der Leber. In der kontrastgest\u00fctzten Sonografie (CE-US) zeigte sich eine Hypervaskularisation mit zentripetaler Auff\u00fcllung und angedeutetem radi\u00e4rem Gef\u00e4\u00dfmuster. In der portalen Phase und in der ven\u00f6sen Sp\u00e4tphase wurde das Kontrastmittel st\u00e4rker als in der \u00fcbrigen Leber gehalten, was an einen benignen Lebertumor, u.\u200aa. an ein hepatozellul\u00e4res Adenom (HCA), denken lie\u00df. Eine fokal nodul\u00e4re Hyperplasie (FNH) w\u00e4re eine m\u00f6gliche Differenzialdiagnose gewesen. Ein im Anschluss durchgef\u00fchrtes MRT konnte zwischen einem HCA und einem hepatozellul\u00e4ren Karzinom (HCC) nicht sicher unterscheiden, weswegen letztlich die Entscheidung zur Stanzbiopsie getroffen wurde. Die histopathologische und immunhistochemische Aufarbeitung offenbarte das Bild einer intrahepatischen Splenose. Die Neuerhebung der Anamnese ergab ein stattgehabtes Abdominaltrauma mit Milzruptur 5 Jahre zuvor. Die intrahepatische Splenose ist somit eine wichtige Differenzialdiagnose bei Patienten mit unklarem Lebertumor und der Vorgeschichte eines Milztraumas.<\/jats:p>","DOI":"10.1055\/a-1340-0498","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T19:39:43Z","timestamp":1612813183000},"page":"149-152","source":"Crossref","is-referenced-by-count":1,"title":["Ein vermeintliches hepatozellul\u00e4res Adenom stellt sich als\u00a0intrahepatische Splenose heraus \u2013 ein Fallbericht"],"prefix":"10.1055","volume":"59","author":[{"given":"Michael","family":"D\u00f6lle","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina Imeen","family":"Ringe","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Diagnostische und Interventionelle Radiologie, Medizinische Hochschule 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