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Gastroenterology  (Expert Forum)
 | 
spleen hemogioma???
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

spleen hemogioma???

by louiec6683, Apr 21, 2007 12:00AM
I am a 38 y/o male in December I went for a abdominal ultrasound for slightly elevated alt 66. My results were negative except for what the radiologist described as a 1.7
cm hemogioma. At the end of the report recommendation was a
mri correlation for small spleen lesion repersenting hemogioma.
My gastro Dr said he has never seen a hemogioma in the spleen and
he has been a Dr for close to 30 years. How accurate are u/s the tech called the dr in during the u/s and the Dr did her own looking which she stated "relax it not cancer". Why do they recommend mri if its states hemogioma?? what else could it be?
My blod work is normal except for the alt and high cholestrol 240. I spent alot of time working at the world trade center site
after 9/11 and I am very concered.

by Kevin Pho, MD, Apr 22, 2007 12:00AM
I agree that a hemangioma in the spleen is not common.

If there continues to be concern about a hemangioma, more comprehensive imaging should be considered.  This would include a CT scan or MRI.  

Regarding the recommendation for MRI, if the area of concern is not definitive via ultrasound, then it would not be unreasonable for the radiologist to recommend the MRI.  

A cyst, abscess, or hematoma can also be considered within the spleen.  The MRI should be discussed with your personal physician or in conjunction with a GI evaluation.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments

by kansasgirl, May 29, 2007 12:00AM
I am wondering more on hemangioma's that are found incidentally on a CT scan.  Mine is less than 4mm.  I also have crohn's and had a flare up, that is when the hemangioma was noted.  My report also said it was benign.  I am just wondering how and why I would have one in my spleen.  I also have one in the L5 of my spine as well.  I have researched the internet and I am not really finding much information.  Any additional information would be of help to me.  Thank you in advance for responding.
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