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).
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- Images in clinical medicine. Enlarged spleen with a heterogeneous pattern.N Engl J Med. 2013; 27:368: e37
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