Laparoscopic splenectomy for inflammatory pseudotumor of the spleen

• Published in: Hepato-gastroenterology Vol. 58; no. 112; p. 1909
• Main Authors: Suzumura, Kazuhiro, Okada, Toshihiro, Satake, Makoto, Fujimito, Jiro
• Format: Journal Article
• Language: English
• Published: Greece 01.11.2011
• Subjects: Female; Granuloma, Plasma Cell - diagnosis; Granuloma, Plasma Cell - surgery; Humans; Laparoscopy - methods; Male; Middle Aged; Splenectomy - methods; Splenic Diseases - diagnosis; Splenic Diseases - surgery
• ISSN: 0172-6390
• DOI: 10.5754/hge10250

We report two cases of inflammatory pseudotumor of the spleen treated by laparoscopic splenectomy. The first patient was a 61-year-old woman with a 3cm splenic tumor detected incidentally by ultrasonography. Computed tomography showed a well-demarcated splenic mass. She underwent hand-assisted laparoscopic splenectomy. The second patient was a 51-year-old man in whom a splenic tumor was found on follow-up computed tomography after resection of occipital malignant neurinoma. Ultrasound and magnetic resonance imaging confirmed a splenic tumor, which showed no uptake on 18F-fluorodeoxyglucose positron emission tomography. Laparoscopic splenectomy was performed. The histopathological diagnosis was inflammatory pseudotumor in both cases. Their postoperative course was uneventful, with a postoperative hospital stay of 11 and 8 days, respectively. Splenectomy is usually performed in patients with splenic tumors because imaging techniques cannot exclude malignancy. Laparoscopic splenectomy may be a useful option for patients with splenic tumors.