A case of splenic hamartoma associated with threatened rupture

The patient was a 14-year-old woman who complained of continuous left upper flank pain and was diagnosed with a tumor of the spleen. Her pain worsened with increase in the size of the tumor. Abdominal ultrasonography revealed ill-defined and heterogeneous tumor on the upper side of the spleen. CT sc...

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Bibliographic Details
Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 71; no. 8; pp. 2139 - 2144
Main Authors YOKOI, Shigehiro, IIDA, Atsushi, HONDA, Kei, GOI, Takanori, KATAYAMA, Kanji, YAMAGUCHI, Akio
Format Journal Article
LanguageJapanese
Published Japan Surgical Association 2010
Subjects
cord capillary hemangioma
laparoscopic splenectomy
splenic hamartoma
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Summary:The patient was a 14-year-old woman who complained of continuous left upper flank pain and was diagnosed with a tumor of the spleen. Her pain worsened with increase in the size of the tumor. Abdominal ultrasonography revealed ill-defined and heterogeneous tumor on the upper side of the spleen. CT scan showed a low-density area indicating a protruding tumor. The tumor was uniformly stained in the contrast enhanced CT image. CT angiography revealed a vascularized tumor. The tumor was 5 cm in diameter. MRI showed iso to low intensity areas on the T1-weighted image and high intensity areas on the T2-weighted image. We diagnosed the tumor as splenic hemangioma with threatened rupture and performed laparoscopic splenectomy. The resected specimen revealed a solid tumor protruding from the splenic surface. The pathological diagnosis was cord capillary hemangioma that was included in hamartoma of the red pulp type. Laparoscopic splenectomy is a feasible and safe procedure even in cases with threatened rupture tumor.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.71.2139