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A 25-year-old man was admitted to the hospital because of high blood pressure unresponsive
to initial therapy. Except for hypertension, his medical history revealed thalassemia
trait. Physical examination on admission revealed a normal general condition, blood
pressure 155/95 mm Hg and a regular pulse of 82 beats/min. Physical examination revealed no hepatomegaly or splenomegaly. Laboratory
investigations did not indicate a specific condition. Further examinations were planned
for investigating secondary hypertension etiologies due to the young age. After the
contrast-enhanced computed tomography of the abdomen was performed, an interesting
image of the spleen was detected and described as an archiform pattern of heterogeneous
enhancement (Figures 1A and 1B).