04 June 2021>: Articles
Xanthomatous Inflammatory Infiltrate Involving the Spleen: An Unusual Presentation of Erdheim-Chester Disease and Review of the Literature
Rare disease
Gioia Di Stefano ** , Massimo Granai * , Francesco Giudici B , Giuliana Roselli B , Stefano Lazzi A , Raffaella Santi ADOI: 10.12659/AJCR.931060
Am J Case Rep 2021; 22:e931060
Figure 1. Contrast-enhanced computed tomography scan: (A) The coronal reformatted image (lung window) showed nonspecific peri-bronchial thickening and focal areas of parenchymal consolidation involving the lower lobes. (B) On the coronal reformatted image, there is evidence of perisplenic hematomas seen as a diffuse fluid collection surrounding the spleen, with no mass effect to adjacent parenchyma. (C) An axial image shows an irregular hypodense area caused by splenic laceration (confirmed intraoperatively) and demonstrates a focal area of high attenuation in the splenic parenchyma due to active extravasation. (D) Antero-posterior radiographs of left femur and leg show normal appearance of bone marrow and regular thickness of the cortical bone with plate osteosynthesis at the proximal-third of the tibia from a previously healed fracture.